LFT abnormal in hep B
May 23, 2014
I had LFT which is now not normal in last 8 years. ALT is 81 U/L (range 7-55) and AST 36 (7-37). Alkaline Phosphatase 125 U/L (range 50 136), Protein Total 7.7 gm/dl (range 5.5 - 8.0); Albumin 4.8 gm/dl (3.5 - 5.0); Globulin 2.9 gm/dl (2.0 - 3.5); A/G Ratio 1.66 (0.90 - 2.00); Bilirubin (Total) 0.6 mg/dl (0.3 - 1.0); Bilirubin (Direct) 0.1 mg/dl (0.1 - 0.3); Bilirubin (Indirect) 0.5 mg/dl (0.1 - 0.9). I was diagonized with HBV in 2006. What should be the next step, please suggest I am so worried. Last year June HBVDNA was 1400.
Response from Dr. Taylor
Next steps include getting your hepatitis B DNA, also called viral load, repeated; getting tested for HIV; and cutting down or ideally, stopping all alcohol use. The HBV DNA level and presence or absence of HIV are factors your doctor will consider when discussing hepatitis B treatment with you. Also talk with your doctor about getting sexual partners and household contacts tested, and vaccinated if they do not have hepatitis B.
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