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What would be the management of hepatitis infection?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Noushif. M

Medically reviewed by

Dr. K. Shobana

Published At June 7, 2018
Reviewed AtFebruary 26, 2024

Patient's Query

Dear doctor,

I want to know the interpretation of my lab 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.

Answered by Dr. Noushif. M

Hello,

Welcome to icliniq.com.

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

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

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

Hope your queries have been cleared.

For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Noushif. M
Dr. Noushif. M

Surgical Gastroenterology

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