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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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 »


Dr. Chandra Prakash Tanwar

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 some risk f...  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 »


Dr. Chandra Prakash Tanwar

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 »


Dr. Sumit Srivastava

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 »

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 Peruvemba Hariharan

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 »

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