Hello I am Micheal I am 25yrs old, recently diagnosed with hep b during a random test on April 2, my
HBsAg = positive
HBEAG is positive
Viral load extremely high = 666314451Ul/ml
Ultrasound = Normal
Fibroscan = Normal
Alt and Asat = Normal
Urine test : All normal
I have no noticeable symptoms, I just have little headaches and a feeling of being unwell that goes after 24hrs
My doctor said it’s an acute infection and he can’t prescribe medication because my liver is normal and there is no damage being done, I am scared this is something I had from birth but my family all test negative and were recently vaccinated, I had sex on Feb 5 this year I used a condome but I was given oral sex as well, I really doubt that doctors diagnostics because I don’t have any symptoms and that means I have an chronic infection, pls I really need help I am loosing my mind and can barely eat for a month now.
I can’t tell you for sure whether this is an acute infection vs chronic, especially not over the Internet. There is a blood test you can get to check this though. It’s called core antibody IgM. This type of antibody appears when you have a new infection, and then disappears within a few months. I recommend asking your doctor to order it. If your liver enzymes are normal, there’s no immediate danger to your liver, but please do be careful, because viral load is closely linked to transmissibility. People with a high viral load like you can transmit the virus more easily than someone with a low viral load.
Dear @Micheal, I’m so sorry you are going through this and I hope you know you are not going through it alone. Many of us here on the forum have chronic hepatitis B and live quite normal lives. Diagnosis when you do not have any liver damage (shown by your normal fibroscan and ultrasound) is great, as there are ways to prevent ongoing liver disease if indeed it is a chronic infection.
I agree with @et5656 post, it could be a chronic infection in immune tolerant phase or it could be an acute infection. In both, there could be no symptoms. The only way to be sure is to get tested in 6 months time to see if the HBsAg becomes negative.
My hbsag nov 24 6480 and hbv dna 5900 and may 25 hbv dna not detected ,may26 hbsag 8900 and hbv dna 45 between this time I was on tafnat25 why not detected to 45 and HbsAg increase
I actually wouldn’t consider the changes to your HBsAg and HBV DNA to be statistically significant. It’s actually pretty common for HBsAg to fluctuate up and down, and HBV DNA can also flip back and forth from undetectable to being detectable at a very low number. I wouldn’t worry too much about HBV DNA unless it continues to go up. Resistance to TAF is very rare.
Thanks my platelets count have been consistently in the range of 100k to 150k since 10 years.my vitamin b12 levels are 220 and having hypothyroidism since 2016 my hepatologist is telling no relationship among them could u please explain in this issues.
Thanks for explaining, I want to know why platelets consistently low is it due to hbv and why hbs ag increased though I am on tafnat 25 since last 2 years