Confuse regarding symptoms and virus clerance

Hi
Can anyone help me as its confusing.
Is stomach borborygmi for more than a month without any stomach pain is hep b symptoms?
Can body clear hep b virus within 70 days after exposure and hbsag negative?
Will symptoms arise even after body clears hep b virus in acute infection?
Please help in these.
Thank you

Hi @Salish99,
I don’t think stomach growling is a symptom of HBV. It could indicate that you are gassy or that food digestion is going on, and you can hear it. If you are HBsAg negative, it means you do not have hepatitis B, so there is nothing to clear. Unless you mean something else, please clarify.

For an acute infection, I believe some symptoms persist until the body’s immune system has total control and all viral replication has stopped. It is the overwhelming viral replication that causes those symptoms that someone with an acute HBV infection feels.
I hope this helps, Bansah1

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Hi Bansah1
Thank you so much actually i went for blood test on 70 days after exposure and result was hbsag negative hep b core total positive hbsab <10 hbeag negative hbeab negative. And again tasted on 100 days came the same result. Am confuse whether i have infection or its false positive.
Can hbv can be cleared in 70 days after exposure?
Thank you

Because you have been exposed to HBV it’s correct that the hb core total is positive. Having HBsAg negative and positive HBsAb is an indication that you are no longer infected. If you were still infected surface antigen would still be positive and you would not have HBV antibodies. I hope this explanation makes sense. Bansah1

Hi bansah1
Thank you and when i checked in google its says that in 70 days after exposure its not likely virus will be cleared so in 70 days is it pssible to clear hbv.
Thank you

An acute infection takes up 2 to 6 months . As long as you are within the 6 months window it doesn’t matter what others have experienced. Each person will have different experience. It all depends on the amount of virus you are exposed to and how much it replicates. High replication will require longer time. Based on your results, you do not have HBV, unless these results are inaccurate. Plus, we don’t know exactly the date or month you got exposed. Best, Bansah1

Hi Bansah
Thank you and i was possibily exposed on 19th jan and i did blood taste on 31st march. Hbsag was negative and hbsab was <10 means negative and again i repear taste on 28 april and hbasg negative and hbsab negative too but hep b core total positive.
Thabk you

Sorry, I didn’t pay attention to the HBsAb sign which is <10. Did your doctor check your viral load? I apologize if you already shared that. I am responding through email and not the site so I do not see your initial post. Since surface antigen is negative, antibody is negative and not positive, core total is positive, having a viral load test might be of some help here.

But a surface antigen negative test is indicating that you don’t have HBV. I don’t know if it’s too soon for you to have developed antibodies to be measured. You should develop antibodies once you clear an acute infection. I hope your next test provides much more helpful results to draw a definite conclusion. Thanks, Bansah1

Hi Bansah
I did my HBV DNA test on 99 days and it says not detected. LFT ALT is 86 AST is 34 and bilirubin 24 and doctor asked me whether i drink or not i said i do drink occassionally. Doctor told me will do test again in 2 months. Pathology has written my serology is uncommon.
Actually possible exposure that i give is the one that i had very much protective sex using condom and when i remove it wasnt torn.
Symptoms i had was just my both index finger pain and stomach borborygmi without pain for more than month now. I dont know whether its symptom i have little pain in my upper back near shoulder area both side. I dont have any pain in upper right quadrant. Am confused if i cleared virus then how related symptoms coming or i am having symptoms of other disease just confused.
Thank you

Dear @Salish99,

Thanks for sharing your story with us and I understand that it is a stressful situation for you.

To answer some of your questions, index finger pain, borborygmi, upper back pain are not considered common symptoms of hepatitis B infection and you should perhaps consider with your doctor alternate causes of these.

I agree with what @Bansah1 has mentioned, HBsAg negativity does mean you likely do not have an infection - as far as the research is understood, 100 days post-exposure is more than long enough for HBsAg to be detectable if there is an infection event.

Given that you are anti-HBc positive, this indicates that you may have been exposed in the past and cleared this infection. Clearance of an infection is not always marked with symptoms.

You mention that you are anti-HBsAg-negative. In these cases, an HBV vaccine would be recommended to ensure that you are protected from any future exposure to the virus.

Regarding your increased ALTs, this can come from many factors including drinking, fatty liver disease, other virus infections, or even strenuous exercise. Further tests would be needed to be done to figure out what may be the most likely cause.

Hope this helps,
Thomas

Hi Dr. Thomastu
Thank you for your relief explanation. My hbsag is negative and i think once its negative symptoms does not come but am feeling little discomfort in my upper right back but i dont have any pain or discomfort in my upper right quadrant, am not sure whether its anything related to hep b or someother disease pain.
Another question is does symptoms comes after clearing virus from body?
Thank you

As mentioned in the other thread, HBV-related symptoms have not generally been reported after clearance of infection.

Thomas

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Hi @ Dr ThomasTu
Thank you and since my last test done where hbsag negative HBV DNA not detected but hbsab <10 meaning so no immunity, is there possibility of reactivation. My possible exposure was 19th jan and i did blood test on 31st march and ahain on 28th april.
Thank you

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Dear @Salish99,

After HBV clearance, the most common risk of reactivation is due to extensive immunosuppression (e.g., for organ transplantation or certain anti-cancer treatments). For circumstances that most people are in, the reported risk of reactivation is negligible.

Hope this helps,
Thomas

Hi Dr Thomas
Thank you

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