Thanks Mr @Kinoti
Thank you very much
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I personally would try to look back to where and how you were infected.
Pls read the thread I have mentioned it.
Hello @ThomasTu Hope you doing well.
I have completed 6 and a half months since symptoms appeared (mid July, 2021). Last test was done on 18th December, 2021.
Do I need to take tests one more time as six months completedā¦? How frequently I need to get tested in future
Thanks,
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Hi @AJK,
This is something to talk to your doctor about because it relies on your specific risk factors. But for the majority of people who are under immune suppression, reactivation after they clear HBsAg as you have is incredibly rare.
Thomas
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Hello @ThomasTu
Results Update:
As I completed six months (since symptoms appeared) this January ( from mid July to mid Jan), I went to get my blood work done yesterday 21-02-22.
Results:
HBsAg: Non reactive
HBVDNA: Not detected
Anti-HBs: 35.39 IU/L
Now I just wish to know if I need to repeat tests after a year or so .?
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This is more of a question for one of our @HealthExperts and a discussion with your personal physician. However, if you do not have any liver fibrosis, there is negligible risk for liver cancer. With these result, the risk of viral reactivation is also very very low.
Thomas
As a general rule, yes, the risk of HCC in HBV is directly related to the extension of liver fibrosis, i.e. disease severity. However, in some epidemiological settings, Asia and Africa for example , some patients might develop HCC even in the absence of severe liver disease defined by fibrosis or/and inflammatory activity
Prof. Pietro Lampertico, MD, PhD
Full Professor of Gastroenterology
Head of Gastroenterology and Hepatology Division
Fondazione IRCCS Caā Granda Ospedale Maggiore Policlinico
University of Milan
Via Francesco Sforza 35
20122- Milan
Italy
Phone +390255035432
Fax +390250320410
Hello Thanks for the comments. @ThomasTu @PLampertico
But why are we talking about fibrosis, HCC and liver cancerā¦did I miss something here?
I had an acute infection and probably recovered as results indicateā¦do I still have these threats?
Just wanted to know how often I need to get tests done in future or post six months test in enough to rule out any further possibility in normal conditions?
This is the latest blood report
If you recovered after an acute HBV infection, i.e. with full HBsAg seroconversion stable over time, no risk of HCC due to HBV but risk of HBV reactivation if immunosuppressed
Prof. Pietro Lampertico, MD, PhD
Full Professor of Gastroenterology
Head of Gastroenterology and Hepatology Division
Fondazione IRCCS Caā Granda Ospedale Maggiore Policlinico
University of Milan
Via Francesco Sforza 35
20122- Milan
Italy
Phone +390255035432
Fax +390250320410
Hi @AJK, I may have misunderstood. My interpretation was that you were asking whether you still needed testing.
The only reasons that you might need to get tested are:
- Finding out if the virus has come back.
- Finding out if you have liver cancer.
Both Pietro and I are letting you know that the risks of both of these are extremely low after HBs-seroconversion.
The frequency of testing is for you to decide with your health provider because that is based on your particular situation. This is not something that anyone can answer for anyone else over the internet. But for the vast majority of people with these results, there is no further risk of liver disease or reactivation.
I donāt think the majority of doctors would think it necessary to require ongoing testing unless youāre going through certain kinds of strong immunosuppression.
Thomas
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Hello @ThomasTu ā¦do you think virus can remain infectious even after 5 months on common surfaces at home like bed, couches, furniture, electronic gadgets or floor 
Hi @AJK,
Virus in this state being able to infect anyone else is a very very low risk. I would not worry about it.
Thomas
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Thanks for not replying straightway 
ā¦ Your answer indicate it may remain viable even after many months.
Anyway, another queryā¦I had tested HepA IgG reactive though I never had hepatitis or jaundice before in my life with best of my knowledge. Does that mean I had asymptomatic infection at some point if my life so far? Though asymptomatic infection is common in childrens ?
I have not taken HepA vaccine therefore. But I freak sometimes what if I get hep A?
Could it activate HepB?
Your lab results would suggest that you have been exposed to hepatitis A, but is an acute infection and is quickly cleared from your body. The good thing is your antibodies give you immunity, so youāre protected against future infections.
Thomas
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You didnāt say anything about its effect on silent HepBā¦does it have anything to do with reactivation
Hepatitis A is not known to have any direct affect on HBV, it isnāt linked to reactivation. The reason why people with HBV should be protected against HAV is that co-infection puts additional stress on the liver.
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Rightly so. Thanks for the information.
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Hello @MarkDouglas As you said the Anti Hbs levels have gone upto 44 IU/L. Just wish to know should I opt for a HepB vaccine to further boost the levels? Is this required ( High levels) to prevent any subsequent infection?