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HomeAnswersMedical Gastroenterologyhepatitis b virusCan you please suggest some tests for managing hepatitis B disease?

What does inactive carrier of hepatitis B virus mean?

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. Ajeet Kumar

Medically reviewed by

iCliniq medical review team

Published At March 18, 2022
Reviewed AtMarch 18, 2022

Patient's Query

Hi doctor,

I have tested hepatitis B positive two years back. I have not done any tests after that. Could you please advise me what all tests I should take for managing the hepatitis B disease? Please help.

Answered by Dr. Ajeet Kumar

Hi,

Welcome to icliniq.com.

I understand your concern.

I suggest you get the following tests for evaluation purposes:

HbeAg (hepatitis B e-antigen), HbeAb (hepatitis B e antibody), hepatitis D antibody, liver function tests, creatinine, HBV-DNA PCR (hepatitis B virus-deoxyribonucleic acid polymerase chain reaction) quantitative, ultrasound of the abdomen to rule out chronic liver diseases, portal hypertension, and fibroscan of the liver.

Please follow up with the investigations.

I hope this helps.

Patient's Query

Hi doctor,

Thanks for your reply.

As you suggested, I have taken the tests and attached them for your reference. I got results for some of them. The other test results, HbeAg, HbeAb, Hepatitis D antibody, and HBV DNA PCR quantitative, will be available in a few days. I will upload it at that time.

Answered by Dr. Ajeet Kumar

Hi,

Welcome back to icliniq.com.

I understand your concern.

I have seen your reports (attachment removed to protect the patient’s identity), which you have uploaded, and they all are normal. I would wait for other reports to come before suggesting treatment. It seems that your liver is functioning fine, and only hepatitis B infection is present but it is not causing active inflammation or damage to the liver.

Patient's Query

Hi doctor,

Thanks for your reply.

I got test results for the remaining as well. Please find the attached documents.

Answered by Dr. Ajeet Kumar

Hi,

Welcome back to icliniq.com.

I understand your concern.

I have seen your reports (attachment removed to protect the patient’s identity). It is an inactive carrier. It means the virus is within your liver and doing no damage to the liver. It is suggested that there is no requirement of treatment for this condition unless any family member had liver tumor due to hepatitis B infection, or the person is age above 40 years of age or presence of co-infection such as Hepatitis C or HIV (human immuno deficiency virus) or AIDS (aquired immuno deficiency syndrome) virus infection. Since you do not have any of the above situations, you need not take the treatment for now. But you have to follow up every six months with liver function tests, alpha-fetoprotein, hepatitis B DNA viral load, and good quality liver ultrasound. I suggest you get one last test. For now, it is a fibroscan of the liver, which is similar to ultrasound, but it gives a numerical value for the amount of damage to the liver caused by hepatitis B infection.

I hope this helps.

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

Dr. Ajeet Kumar
Dr. Ajeet Kumar

Medical Gastroenterology

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