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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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 »

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 positive result in a screening. Hepatitis B infection remains asymptomatic for decades, silently causing damage to the liver cells leading to cirrhos...  Read Full »

Is viral hepatitis a sexually transmitted disease?

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 »

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