Jan 22, 2012
i ve askance regarding my condition of HBSAG
As on 8-12-2010
SGPT=58, SGOT=41 Please see images as attached below. My HBV Quantification result was 4900 Viral Copies /ML Plasma(By Real time PCR Method)
After 6 month(9-05-2011).
My viral count result was <20IU (ByTaq-Man Method) . SGPT=69, (30-65 report range ), SGOT=37(Report Range=15-37) Hepatitis B Surface Antigen Value =6043.
Doctor asked me to continue baraclude & advised me to Go for HBV Quantification after 6 Months.
In the mean time i got burned my hand and taken some antibiotics for cure to my pain & burn remedy.Also got infected severely with cold and taken antibiotics medicines in this case also
Now after 6 Month (19-12-2011)
Viral Load <20IU(Taq-Man Method) SGPT=101, SGOT=42 Hepatitis B Surface Antigen Value =6052.
Hepatologist find my report to be Incoherrent and asked me to get scrutinized again with Real time PCR HBV DNA Quantification ,and finally the result < 100IU/ml.Based on the results of the report he advised me to stop taking baraclude & from last 7 days i,m not taking baraclude.
My Askance is 1) What is your advice in leiu of discontinuing the medicine. 2) What is condition of my disease. 3) Is there any test i,m required to go for to know that the viruses are not replicating as i have stopped taking the medicines . 4) Are antibiotics taken resulted high value of SGPT/OT in my recent reports .
Response from Dr. Holodniy
I think your case needs to be reassessed. Although you have had a response to HBV treatment, as your viral load is undetectable in the blood, your surface antigen is still very positive and indicates that infection has not resolved. The elevation of your liver enzymes could be the result of many other kinds of medications, but is most likely the result of HBV infection.
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