@ThomasTu @availlant my Hbv dna is 9022UI/mls . Do I need medications or can be reversed back with diet and exercises.
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Dear @Sirbay,
I am not aware of any evidence that shows diet and exercise can reduce viral load efficiently. The most effective way to reduce your HBV DNA (and liver disease progression) is through antiviral medications.
Thomas
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@ThomasTu @availlant This is my ultrasound before I did my ultrasound did Fibro scan because my viral load is 9022UI/ml. My ultrasound found nothing and is it possible to have fibrosis and not showing abnormality in Ultrasounds. It’s just about 10 weeks apart.
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@Sirbay, my understanding is that an ultrasound scan is not very sensitive in picking up fibrosis and that fibroscan is much better at it.
@thomas @availlant I read an article that TDF regressed fibrosis in patients.
Yes, this is correct that antivirals can halt progression of liver disease and allow the body to start healing the damage done.
Thomas
Thank you so much, @ThomasTu. I have one follow up question for you. You mentioned that I would be outside of treatment guidelines unless there was liver damage as measured by fibroscan. My GI didn’t order a fibroscan, he ordered a liver ultrasound, which came back “unremarkable” - normal liver size and echogenicity, no intrahepatic mass or ductal dilation, surface of the liver is smooth. Is this test sufficient or should I also request a fibroscan?
Can someone help in interpreting my results
My viral load tests
11-02-2023 - 1233.85 IU/mL
10-04-2023 - 1427.14 IU/mL
My viral load is increasing day by day, could someone help what to do now.
Dear @anonymous36, this would not really be considered an increase because it is so small (and many factors can change this value quite a bit, for example, who is doing the lab test or even how hydrated you are on the day). This sort of difference can be seen even if you run the exact same sample 2 times in the lab. Hope this clarifies things for you.
As mentioned above, my understanding is that fibroscan is more sensitive for fibrosis compared to ultrasound, so that it might be worthwhile asking your doctor about this.
Thomas
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It was undetectable <3.8IU/mL in August 2021 and in feb 2023 it came out 1233.85 IU/mL.
This is why I am worried.
Hello,
I received an abnormal test after donating blood in January and after further testing with my doctor and then a specialist, was advised yesterday that I have chronic HepB. However, my results seem to be puzzling my doc, so I thought I’d come here and find out if anyone has had similar results and what they mean. I can’t see exact quantities of my results, but they show I am reactive for Core antibody and the HepBe antigen test but non reactive for DNA, HepBe antibody, and core antibody IGM (that one was taken earlier and not pictured here).
I was vaccinated when I was 9 so I am also confused how this came about. I donated blood with no issues until 2017 when I took a pause for grad school. I’ve been in a relationship for 6 months and worried about transmission to him or whether it came from him.
- are my test results consistent with chronic hepatitis B?
- Given the negative IGM, is it more likely that I’ve had this longer than 6 months?
Thank you for allowing us to ask these questions and creating a space where we can find answers.
HEpBsAg was negative and liver panel came back all normal.
Hi @Holly ,
Welcome to the community. I just wanted to say Hi and let you know that one of the experts will respond shortly, probably within the next day or two. I’m glad you found us and am sure you’ll find this community a source of support.
-Paul
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Dear @anonymous36,
Ah, I see. Then the tests you had confirm that there the detection of HBV DNA is likely real. The HBV DNA numbers themselves do not necessarily denote the disease risk (some people have very high viral loads, but not very much liver disease), but you should make sure to remain under monitoring to determine your ongoing liver health.
Thomas
Thanks for sharing your story and the great questions, @Holly.
To answer both of your questions, being HBsAg-negative is not consistent with chronic HBV infection. Being anti-HBc antibody positive is consistent with prior exposure to the virus that has ended up in clearance. Do you have your anti-HBs antibody test results?
Probably the only odd thing here is being HBeAg-positive (I think most people who clear the virus become HBeAg-negative and anti-HBe positive). It would be great to get some input from some @HealthExperts on this.
Hello and thank you @ThomasTu . My surface antibody test was also reactive. It is indeed the HBeAg positive which is puzzling the doctor.
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Hello doctor,
I have medical report of my latest ultrasound which is making me really anxious.
My LFTs came back normal and in green. Specifically ALT- 16
Hbv load reduced from 16000iu in dec 2022 to 5000iu in feb 2023 and 3470iu in April 2023
My abdominal ultrasound scan reported a “Mildly dilated CBD which dilated from 6mm to 7mm”
Considering my young age of 31 i am really worried
Pancreas was given within limits
No gallstones detected
I also did a CRP test to test for inflammation to check for IBD and it came our normal as well. I do have slight discomfort in my left side of abdomen but nothing on right side.
I dont have jaundice or blood in stools.
Should i be worried of the dilated CBD?
Can this be a cancer of pancreas or Bile duct cancer?
I cant sleep because of this. Any help is much appreciated
@ThomasTu @john.tavis
Recently I went for USG abdomen and Endoscopy and seeing the result of all those, my doctors said that all my organs are normal and my liver enzymes are also within the limits
Hi @Ash_Malhotra,
I’m sorry, but I am not qualified to answer your question. I am a PhD scientist, not an MD.
I hope you get the info you need.
John.
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