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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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 ulcers too. I did 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, and pain in my right a... Read Full »
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, and GGT. For hepatitis B we also need HBV DNA (quantitative), fibroscan, HBeAg, and anti-HBe. 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 »
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 da... Read Full »
I have tested positive for hepatitis B antigen, but I am asymptomatic. Can I still transmit the disease?
Query: Hello doctor, I have been reactive to the hepatitis B surface antigen. After about five to six months, I got myself tested recently, but I am still positive. However, I am negative for all other antigens. I am asymptomatic now. Can I still transmit the disease? Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. I went through your reports (the attachments removed to protect the patient's identity). It seems you have hepatitis B infection which is in an active state as far as viral replication goes. But certain reports ... Read Full »
Does viral hepatitis spread sexually even after getting vaccinated?
Query: Hello doctor, My 26 year old cousin is suffering from viral hepatitis since the last two years. If he marries, will he transfer the disease to his wife even if she is already vaccinated against hepatitis? Read Full »
Answer: Hello, Welcome to icliniq.com. What I understand is that your cousin is suffering from chronic hepatitis. It is commonly chronic hepatitis B or chronic hepatitis C. If his wife is vaccinated and her anti-HBs levels are sufficient, she will not contract an infection from him. But there is ... Read Full »
My father has been diagnosed with IHCC and has a history of hepatitis B. Can he be treated with chemotherapy?
Query: Hello doctor, My father has been detected with cancer of the liver. We have done MRI, CT, and biopsy. He has had a history of hepatitis B for ten years. There are two tumors in his liver, one more than 5 cm. Due to the tumor size and chronic condition, doctors have ruled out surgery or radiofrequenc... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. From your description of chronic liver disease due to hepatitis B and liver lesions, the possibility of hepatocellular carcinoma is high but based on the histopathology report (attachments removed to protect the pat... Read Full »
Does hepatitis virus stay dormant in the body after infection or get cleared?
Query: Hello doctor,I have been given hepatitis B blood test that showed the HBsAg negative and the hepatitis B core antibody image as positive. I am currently getting labs done for hepatitis B Surf Ab Quant, HBsAg screen, hepatitis B virus profile, and panel. I am getting conflicting information on websit... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. You have positive HBV core IgM which means one of the following: Recent infection (window phase). Reactivation of chronic infection. False positive result. Do you have any symptoms of active hepatitis, like jaundice, or painful liver? I strongly recommend tha... Read Full »
Is my weight loss due to hepatitis B?
Query: Hello doctor, I am a 28-year-old male. I would like to describe the series of events to you and need your advice as I have been most disturbing post this event in my life. It has been eight months since my first ever sexual encounter, but I am still tensed and lost. I am too scared to get a blood te... Read Full »
Answer: Hello, Welcome to icliniq.com. From your detailed summary, I can understand how anxious and tense you are. Firstly, the lab tests you forwarded, including liver function tests, are absolutely normal (attachment removed to protect patient identity). Hepatitis B will not get spread by the activity... Read Full »
Can my friend transmit hepatitis B infection to his vaccinated wife?
Query: Hello doctor, Five years ago, my friend was diagnosed with chronic hepatitis B infection. He was asymptomatic, and his laboratory results showed normal liver enzymes and LFT. Also, his abdominal ultrasound was normal. He is married, and his wife was vaccinated for hepatitis B three years ago. Is th... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and would be happy to help. Yes, hepatitis B can be transmitted by unprotected vaginal intercourse or oral sex. The use of a condom during intercourse can prevent transmission. I suggest he uses tablet Liv 52 or capsule Amylcure DS twice da... Read Full »
When would a hepatitis antigen be considered as positive?
Query: Hello doctor, Recently, a friend said he was hepatitis antigen reactive, whose titer was 37.46/34.29. His doctor suggested a confirmatory test. At what level would the antigen be assumed to be positive? Read Full »
Answer: Hello, Welcome to icliniq.com. Your friend is tested to be positive for hepatitis B in the pre-employment screening. It is very common to see an HBsAg (hepatitis B surface antigen) positive result in a screening. Hepatitis B infection remains asymptomatic for decades, silently causing damage to th... Read Full »
What is the treatment for HbsAg carrier?
Query: Hello doctor, I am an HBsAg carrier, and I want to travel abroad for a job. I came to know about my status during a medical checkup, and after that, I got my complete blood test done. I am scared after reading about it on the internet. I have attached my test reports for your better understanding. ... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for your query. I have seen your report (attachment removed to protect patient identity). You are HBsAg (hepatitis B surface antigen) positive, but your liver function tests are normal, which is a good thing. It would take 6 to 8 weeks for the viral serology to im... Read Full »