Doctor @ThomasTu
Can you help in my LFT report that i did in 99 days of possible exposure please.
Thank you
Your ALT is high, suggesting that there is liver inflammation. However, this is not necessarily caused by hepatitis B; particularly if you are HBsAg-negative, other causes should be investigated as well.
Thomas
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Hi Dr
Is there possibility to see inflammation particularly caused by hep b.
Thank you
Dear @Salish99,
As mentioned, other causes are likely to be a more probable cause of the inflammation. If it is inflammation from HBV (for example, it is from an anti-viral immune response), then given you are HBsAg-negative, it will likely subside.
The best way to know for certain is to maintain monitoring and keep in touch with your doctor.
Thomas
Hi Dr. @ThomasTu
Thank you.
One more question, when virus is in dorment state in liver does it still cause liver damage or it will damage when only it reactivate?
Thank you always
Hi @Salish99,
I guess it depends on what you mean by dormant state. If you mean when you are in a HBsAg-negative state, then there is no evidence to suggest that the HBV induces any liver damage when you maintain HBsAg-negativity,
Hope this helps,
Thomas
Hi Dr. @ThomasTu
Thank you. Since i am in acute infection with hbsag negative so was wondering whether virus still cause damage liver.
Thank you
Hi @Salish99,
After recovery from an acute infection, the general consensus is that there is no ongoing risk of liver damage from hep B (outside of the strong immunosuppression as mentioned in other threads).
Hope this helps,
Thomas
Hi Dr. @ThomasTu
I have done my another test after 5 months of possible exposure and i have attached here for your advice and interpretation please. I have done my LFT test and attached report too. What would you advise for further test that i need looking at my LFT report, do i need to do liver ultrasound or any other test though i will see my GP soon but your advise and guidence would be highly appreciated.
Thank you
Dear @Salish99,
Your doctor is in the best place to be able to give you specific information. However, I can tell you that your lab results are consistent with liver inflammation (shown by high levels of ALT) and it is likely due to acute viral HBV (due to the negative HBsAg result and the eventual increase in anti-HBs). It is not clear whether this ALT may increase over time because it may be caused by other liver diseases too.
I suggest you talk to your health professional and receive appropriate monitoring.
Thomas
Hi Dr thomas
Thank you. Wanted to get suggestion from you as its expensive to see heptologist here in australia being in a visa. Hopefully it will come to normal.
Thank you
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Hi @Salish99,
It might be helpful to see a S100 prescriber - these are GPs who have additional training in hepatitis B care and are able to prescribe HBV antivirals if needed. Please access a map of these clinicians on the ASHM website - Find a Hepatitis B (s100) Prescriber
You can even filter by bulk billing or telehealth options!
Hope this helps,
Thomas
Hi Dr Thomas
Even when hbsag is negative and dna not detected have to take antiviral or in what scenerio when negative has to take antiviral medication?
Thank you
If HBsAg is negative for more than 6 months, then generally antivirals are not recommended according to treatment guidelines across the world. However, you should get appropriate examination as recommended by your health professional.
Hi Dr Thomas
Thank you and i have never seen my hbsag positive, since i tested it was negative so its been 3 months now and hopefully it will stay the same. I have started taking black coffee and which all food to avoid and which are best to take. Unfortunatly i was tested positive for hsv1 so bit worried for reactivation of HBV.
Thank you and always grateful for your advise
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Hi @Salish99,
Most people are positive for HSV1, it is a very common infection. To my knowledge there is no interaction between the two viruses.
Thomas
Hi Dr Thomas
One more question please
After clearing hbv and hbsag negative do we need to follow strict diet or we can take normal life and diet like before.
Thank you
Hi @Salish99,
There are no specific recommendations regarding diet with chronic hepatitis B or with cleared hepatitis B.
Thomas