What is the treatment for my hepatitis infection?

Question

Hi doctor,

I want to know the interpretation of my laboratory test for hepatitis. These are: HBsAg 5638.62 reactive, anti HBs 0.00 nonreactive, anti HAV IgG (reverse) 1.06 reactive, anti HCV 0.520 nonreactive, SGPT 19 (ref value is less than or equal to 41 U/L). The liver ultrasound: right mid hepatic length 6.10 cm, left mid hepatic length 7.2 cm, sonographically normal-sized liver. Note: I have a schedule for other tests, which are HBV DNA-PCR (viral load) and fibroscan for chronic HBV, normal SGPT. Hoping for your prompt reply.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

You have a hepatitis B infection. You need to get your HBV DNA quantitative level, and depending on that, start antiviral treatment from your treating physician.

I suggest you strictly adhere to treatment.
Go for a liver function test every three months.
Get a scan (ultrasound or MRI) to assess the liver every six months, especially to check for any nodules developing.
Avoid all medicines (including traditional) and substances (like alcohol) that can cause liver injury.
All your family members need to get checked for hepatitis B infection and get vaccinated for the same.

Nothing to worry about. If well-treated, you can have good control of the liver disease.

Hope your queries have been cleared.

For more information consult a medical gastroenterologist online.