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.
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 chronic carrier but in that situation the HBe antigen will be negative.
- The presence of anti-HBe does not imply immunity to HBV infection.
- I would need antibody to Hepatitis B core (Anti-HBc both IgM and IgG) to determine whether the patient is in window period (IgM) and his viral load is suspected to go higher. Do you have it? If yes please share.
- This antibody appears during the first few weeks after infection and rises to high levels during the remission. Levels remain high in patients who have progressed to the chronic carrier state (IgG).
- In shot I would have to determine if the patient is in window period versus chronic carrier versus progression to chronic hepatitis B.
Investigations to be done:
Anti-HBc (both IgM and IgG), Liver panel, ultrasound of the liver INR/PT and serum albumin if not part of the liver profile.
Differential diagnosis:1. Chronic hepatitis B.
2. Chronic carrier state.
3. Acute infection in window phase (with less infectivity).
Yes, it is treatable, but I would be able to give you a better answer once I have the complete set of blood work and ultrasound results.
Regarding follow up:Revert back with the investigation reports to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
Is hepatitis B curable?
HBeAg - negative (0010), HBV E antibody or Ag - positive (0031) and HBV DNA quantitative (PCR) less than 171 IU/mL ... When both anti-HBe (anti-hepatitis B E antigen... Read full
I am hepatitis B patient with itching, fever and back pain on taking Omeprazole. Kindly advice.Would get a doctor and get the tests done as soon as possible ... Hello doctor, I am a chronic hepatitis B patient, I have ulcer too ... For ... Read full
Is Hepatitis B a contagious disease?Hello doctor, My glans penis is dry and flaky, but not painful or itchy. Will it heal on its own? And only slight itch if there is an erection. I notice this started when I started brisk walking; I am not sure if it is related. Read full
Comprehensive Medical Second Opinion.
