[MERGED] Hepatitis B

[Les]

Hello everyone!

Someone who is really dear to me has hep B and were just waiting for the results of the next test.

I want to be prepared should things be unwell. I know naman na its not a death sentence and lifestyle change talaga siya if ever na chronic siya.

I also want my friend to be take a positive approach in this. My other friend who received a kidney transplant said that support groups help a lot.

In this light, can someone suggest a Hep B support group? My friend isn't the kind who would want to go to support groups but someone who really cares wants to get as much info and advice as possible. Kung puwede talaga face to face na usapan or at least live.

Thanks in advanced

PS:

Ang method ko ngayon is to take it as positive as possible. although I should admit na kung nahihirapan siya or nagiging malunkot siya about it nahihirapan din ako.

The only thing I can think of is the Yellow Warriors Society.

[Les]

Kapag sinabi ng Doctor sa iyo na ikaw ay may Viral Hepatitis Ano po ba ang ibig sabihin niyan? Does it mean na meron kang Hepa B, C, D, E? naguguluhan lang po ako sa Viral Hepatitis???? salamat po in advance sa reply...

Viral hepatitis can be of many types (A, B, C, etc.) so it's not sufficient to say "viral hepatitis." Having viral hepatitis of two different types is uncommon except for hepatitis B + D, since the hepatitis D virus can only multiply in people with hepatitis B.

[aaroncm]

Doc Les.
I just had my ultrasound... ano ibig sabihin ng DIFFUSE PARENCHYMAL LIVER CHANGES WITH NORMAL LIVER SIZE?


thank you

[Les]

That actually doesn't tell much except that by ultrasound the consistency or structure of your liver is different from normal. However it can indicate liver disease, though an ultrasound will not say the etiology (i.e. cause) of the liver disease.

[aaroncm]

That actually doesn't tell much except that by ultrasound the consistency or structure of your liver is different from normal. However it can indicate liver disease, though an ultrasound will not say the etiology (i.e. cause) of the liver disease.

thank you,

[Ateo]

In order to be completely safe, get a Hepa B immunization.

I beg to disagree. Hepa B is "super endemic" in the Philippines where 16% of the Filipinos have the virus. Infection with Hepa B can make one to be a asymptomatic carrier. It can also make one rid of the disease and acquire immunity. So, in the case of the Philippines, the best first step is to have one tested for it. The test will identify if one has an active disease that needs treatment or if one has immunity thus not needing vaccination.

[allaroundhack]

Hi, can anyone suggest a cost effective place where I can get the following tests?

• HBeAg
• anti-HBe
• ALT
• liver ultrasound

Thank you.

[Paoysky]

Hi to all Doctors here in Pinoy Exchange. Please help kung alarming na po ang result ng HBV DNA ko.

SGPT/ALT - 28.63 U/L
Albumin - 44.88 g/L

Hematology
PT Patient - 11.20 seconds
PT Control - 12.00 seconds
% Activity - >100 %
INR - 1.02

Immunology
Anti HBe (CMIA) - 0.02 reactive
HBeAg (CMIA) - 0.33 nonreactive
HBsAg w/ Titer (CMIA) - 2992.87 reactive (with arrow-up sign)
AFP (ECLIA) - 1.48 IU/mL

PCR
HBV viral load - 7,780 IU/ml
45,280 copies/ml

Thanks mga Doc.

[tremble]

may alam ba kayong hepa b vaccine site within manila?

[pitzdman21]

hi po sa mga docs,

eto po *** hepa b profile ko po:

HBsAG = 425.4 last 2weeks
HBsAG = 444.4 today

may improvement po ba for a chance na bumaba *** level ng virus?

thanks po god bless

[jedainz]

My friend had a Hep B positive result(which they found out upon giving birth via CS because she did not follow doctor's orders to have VDRL test while pregnant. They baby is okay and seeing her now, she's fine naman. Question: my OB said if you acquired Hep B, you will always have it for life. Is this true?

My uncle who had chronic Hep B died of Liver Cirrhosis. Her wife and adopted child were tested when things got worst but negative daw (dunno how true, sourced by kamag anak na kasi). but a year before that, her wife had jaundice sa eyes so she got treated for it and naagapan raw.

I'm so confused between these two contracting details. pls enlighten me.

[PeteMitchel]

hello po,

tanong ko lang po if got exposed last march 2 gano po katagal ang window period na puede nakong magpatest?

thanks so much..

[SuperOnyx]

My friend had a Hep B positive result(which they found out upon giving birth via CS because she did not follow doctor's orders to have VDRL test while pregnant. They baby is okay and seeing her now, she's fine naman. Question: my OB said if you acquired Hep B, you will always have it for life. Is this true?

My uncle who had chronic Hep B died of Liver Cirrhosis. Her wife and adopted child were tested when things got worst but negative daw (dunno how true, sourced by kamag anak na kasi). but a year before that, her wife had jaundice sa eyes so she got treated for it and naagapan raw.

I'm so confused between these two contracting details. pls enlighten me.

Some people may heal and some may be infected for life or become "chronic". The chance of becoming chronic is higher if one acquires it at a very young age (e.g. vertical or mother-to-child transmission, etc.) than those who acquire it during adulthood (through sexual contact, etc.). According to WHO:

The likelihood that infection with the hepatitis B virus becomes chronic depends upon the age at which a person becomes infected. Young children who become infected with the hepatitis B virus are the most likely to develop chronic infections:

* 90% of infants infected during the first year of life develop chronic infections;

* 30–50% of children infected between one to four years of age develop chronic infections.

* 90% of healthy adults who are infected with the hepatitis B virus will recover and be completely rid of the virus within six months.

[grace16ann]

gud pm po,, pede po ba magpabasa ng result senyo.. hep b chronic carrier po ako,, ang sabi po ng doc ko infective daw po ako pero sa HBV DNA ko not detected ang nakalagay,, is it possible o me lab error lang po,, everything is ok,, my liver function are all ok even *** ultrasound ko is normal naman,, TIA!!!

[Ateo]

gud pm po,, pede po ba magpabasa ng result senyo.. hep b chronic carrier po ako,, ang sabi po ng doc ko infective daw po ako pero sa HBV DNA ko not detected ang nakalagay,, is it possible o me lab error lang po,, everything is ok,, my liver function are all ok even *** ultrasound ko is normal naman,, TIA!!!

Hmm, you need to give more information. But let me interpret your condition with the limited information that you gave to guide you in your conversation with your doctor and enable you to ask her good questions.

You are in the inactive phase of the infection. This means that your HBV DNA is not detectable because it is so low; your HBeAB is reactive though. Your liver enzymes are back to normal and your liver functions are okay. Yes, your ultrasound is also expected to be normal. This is a good situation; it means that your body responded well to the infection. You have a much reduced risk for complications, such as liver damage. As your recovery progresses, your surface antigen HBsAg may become unreactive and your surface antibody HBsAb may become reactive -- again, that will be good as you are developing a good antibody protection for future infections. Your recovery will be long but you are moving well in the right direction. Take care of your liver and live a healthy lifestyle. In the meantime, you are still infectious but at a low level only. You should advise your partner/s to use a condom or to get Hepa B test and then vaccination. If you are planning to have a baby, you should consult your doctor for advice.

By the way, if your immunity system is compromised by other severe infections such as HIV, then, your recovery will be disrupted and your hepa situation could get worse. Thus, it is important that you live a safe lifestyle. This is also a good excuse to start a healthy lifestyle and to thank your immunity system for working for you.

Get a regular annual checkup from your doctor. I don't think your doctor will recommend any treatment. It seems that your body is working well. You are looking for reactive surface antibody HBsAb but non-reactive surface antigen HBsAg.

The caveat applies . What you read in the forum is only informed advice. Only your doctor, who knows your profile better, can give an authoritative advice.

[grace16ann]

kung ganun po na nakakahawa ako,, edi sana po nahawa ko na yung asawa ko,, pero nag pascreen sya last december,, wala naman po syang Hep B.. at me anak na din po kami,, napa vaccin na po sya at kumpleto na din po vaccin nya ng hep b.. eto po *** result ng profile ko pati hbv dna ko:,

HBsAG Elisa: 2.979 reactive
Anti HBs : 0.061 non reactive
HbeAG : 2.993 Reactive
anti HBe : 2.673 Non Reactive
Anti HBc G : 0.059 reactive
anti HBc M : 0.019 non reactive

HBV dna pcr quantitative >110,000,000 hbv dna not detected
limit of quantitation: 6.0 - 110,000,000 iu/ml

ano po ba mga ibig sabhin nyan?? ang sabi po ng doc no need na for me para sa medication or vaccine,, need ko lang mag pa check every 6 months ng AST and ALT ko at liver ultrasound,, so confused po talga,, bakit ndi ko kelngan mag pagamot kung nakakahawa talaga ako,, please help po

[Ateo]

kung ganun po na nakakahawa ako,, edi sana po nahawa ko na yung asawa ko,, pero nag pascreen sya last december,, wala naman po syang Hep B.. at me anak na din po kami,, napa vaccin na po sya at kumpleto na din po vaccin nya ng hep b.. eto po *** result ng profile ko pati hbv dna ko:,

HBsAG Elisa: 2.979 reactive
Anti HBs : 0.061 non reactive
HbeAG : 2.993 Reactive
anti HBe : 2.673 Non Reactive
Anti HBc G : 0.059 reactive
anti HBc M : 0.019 non reactive

HBV dna pcr quantitative >110,000,000 hbv dna not detected
limit of quantitation: 6.0 - 110,000,000 iu/ml

ano po ba mga ibig sabhin nyan?? ang sabi po ng doc no need na for me para sa medication or vaccine,, need ko lang mag pa check every 6 months ng AST and ALT ko at liver ultrasound,, so confused po talga,, bakit ndi ko kelngan mag pagamot kung nakakahawa talaga ako,, please help po

What are your liver enzymes ... AST and ALT readings?

[grace16ann]

ast/sgot 16.73
alt/sgpt 12.31

yan po,, sabi ng doc all normal levels naman daw [po sya..

[red_logo]

hi simply me! sino ang doctor mo na nag-prescribed sayo ng baraclude? are you currently taking it now? thanks

Hi doc Les,

Pwede po paki interpret ang hepa profile test na to:

Hepa B Surface Antigen - Reactive - 1998.66 count - cut-off 1.0
Anti HBS - Non Reactive - 0.22 count - cut-off 10.0
Anti HBC - Reactive - 13.22 count - cut-off 1.0
HBE Antigen - Non Reactive - 0.674 count - cut-off 1.0
Anti HBE - reactive - 0.01 count - cut-off 1.0
Anti HAV (IgG) - Non reactive - 0.33 count - cut-off 1.000

The doctor advise to take a medicine Baraclude pero me kamahalan po meron po bang gamot na pwedeng i-take na pereho nyan na mas mababang presyo?

Salamat po in advance sa reply at tulong nyo. God bless you.

[red_logo]

Sino po ang kasalukuyang nagtatake ng entecavir (baraclude) for their hepa b? salamat po