Chronic Hepatitis B

Individuals that get tested positive for the hepatitis B virus for six months or more after the first positive result are said to have chronic hepatitis B infection. Prolonged infection occurs when the immune system is unable to get rid of the hepatitis B virus. This results in the virus still active in the blood and liver.

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Will hepatitis B core antibody count be less in blood after five years of infection?

Query: Hi doctor, I am a 29-year-old male of height 1.7 m and weight 58 kg. I was diagnosed with hepatitis B five years ago. I did the tests, and they came as follows: 1) Hepatitis B core antibody - positive. 2) HBc IgM - negative. 3) HBsAb - non-immune. 4) Hepatitis B surface Ab value - 0.54 mIU/mL....  Read Full »


Dr. Radha P H

Answer: Hi, Welcome to icliniq.com. All your test values show that you have active hepatitis B virus infection and that you can spread the disease. Also that there is a chance that if the infection continues, you may get liver damage. Are these tests recently taken or five years ago, when you were fir...  Read Full »

Can you please tell me what is wrong with my liver?

Query: Hi doctor, I am having some pain in my back. The same thing happened a year before and it was diagnosed to be some liver infection. I had Liv 52 at that time and it got cured. I have attached my recent reports for your reference. Please help with my suffering.  Read Full »


Dr. Naresh Kumar Monigari

Answer: Hello, Welcome to icliniq.com. I had gone through all the reports posted (attachment removed to protect patient identity). You have chronic hepatitis and we need to find out the cause for that. Chronic hepatitis may progress to cancer and so evaluation is important. Kindly get an ultrasound abdomen...  Read Full »

Is it possible to have chronic liver issues with normal liver function test?

Query: Hello doctor, In an initial test, I tested positive for HBsAg. Then I went on to do a liver function test and it was normal (no abnormality). What do you think about this?  Read Full »


Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to icliniq.com. Well, it seems that you have chronic Hepatitis B infection. But to decide whether to give treatment or not, I have to get some more information about the state of current infection through blood tests. Thereafter I can suggest you the further course of management. I...  Read Full »

Do I need to take medication for chronic hepatitis B?

Query: Hello doctor, I am currently diagnosed with chronic hepatitis B. Viral load is 6 million IU/ml, SGPT is 85 and others are in range, and HBeAg is 0.06. Should I start medication? Am I in danger? I am a 30-year-old male. I also have a loss of appetite, gastritis, and bloated stomach. Please help.  Read Full »


Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to icliniq.com. Yes, you should definitely start the treatment. But I want you to get a baseline renal function tests and fibroscan of the liver. If renal functions are normal then we can start and continue the treatment at the maximum dose. You can use tablet Tenofovir 300 mg once...  Read Full »

Is it possible to cure hepatitis B?

Query: Hello doctor, I am hepatitis B patient. My current status is as follows. HBeAg - negative (0.010), HBV E antibody or Ag - positive (0.031) and HBV DNA quantitative (PCR) less than 17.1 IU/mL. Please advise whether this can be cured to become negative as it is affecting my career.  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. When both anti-HBe (anti-hepatitis B E antigen) and HBsAg (hepatitis B surface antigen) are positive (HBeAg - negative), there is reduced infectivity and the patient is expected to resolve the infection spontaneously. The Anti-HBe antibodies may be detectable in a chro...  Read Full »

Is medication necessary for hepatitis B?

Query: Hello doctor, I have been diagnosed with hepatitis B and have attached my test results. But I am not sure how severe my case is. Do I need medication, or do I just have to monitor my condition?  Read Full »


Dr. Zubin Dev Sharma

Answer: Hello, Welcome to icliniq.com. I have seen your reports. (attachment removed to protect patient identity). As I can see from the reports, you are positive for Hepatitis B. The indication for the treatment as per American guidelines is dependent on liver function test and the presence or absence ...  Read Full »

What does coarse echotexture of the liver mean?

Query: Hello doctor, I had an ultrasound of my abdomen yesterday and got the results today. My ALP is 155 and AST and ALT is within the normal range. I am not taking any medication at the moment, but I would like help with understanding what this means 'liver parenchyma has increased and coarse acoustic ...  Read Full »


Dr. Chandra Prakash Tanwar

Answer: Hello, Welcome to icliniq.com. As your abdomen ultrasound report (attachment removed to protect patient identity) shows an increased and coarse echotexture with no IHBD (intrahepatic bile duct) dilatation, the main cause is a fatty liver disease which shows an increased echogenicity in the liver. T...  Read Full »

My serum GGT levels are elevated despite giving up alcohol. Please help.

Query: Hello doctor, Serum GGT levels are elevated despite giving up alcohol. Even before, the frequency of drinking was maximum once in a week (90 ml). What does this imply? Please help.   Read Full »


Dr. A V Hussain Shihaz

Answer: Hello, Welcome to icliniq.com. There are a few questions regarding your health and lifestyle that would help in finding the answers to your query. 1. Have you had any jaundice recently or ever? 2. How long have you been taking alcohol? 3. Is there anyone in the family (siblings, parents) who ha...  Read Full »

Why are there body itching with fever and back pain after taking Omeprazole in hepatitis B patient?

Query: Hello doctor, I am a chronic hepatitis B patient, I have ulcer too. I did a blood work recently for urea, creatinine, AST (SGOT) and ALT (SGPT). The physician said the result was fine. I was given Omeprazole. A few days ago I noticed I have constant body itch, fever, back pain, pain on my right abd...  Read Full »


Dr. Babu Lal Meena

Answer: Hello, Welcome to icliniq.com. What is the status of your liver now? You are on treatment or not? Symptoms look like biliary pain. Kindly do an ultrasound, LFT, CBC, GGT. For hepatitis B we also need HBV DNA (quantitative), fibroscan, HBeAg, anti HBe.  Read Full »

Can I get protected against hepatitis B by vaccination?

Query: Hi doctor, I kissed someone who had chronic hepatitis B. So, I put my first hepatitis vaccination immediately, a second vaccination a week later and the third one, two weeks later after the second. Am I protected against hepatitis B?  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Yes, you are protected. Although the booster is not taken, some amount of immunity is provided by vaccination, it is enough to protect. So, it will protect you. Now, the best way to confirm this is by getting immunoglobin titers done and if the titers are adequate, t...  Read Full »

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