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5 months pregnant and having hepatitis b, serum albumin 3.1, anti HCV (non reactive), booster taken for hepatitis, - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2009
Answered : 593 Questions
User :   hi
Doctor :   hello
User :   ok
Doctor :   how can i help you today ?
User :   I have some queries regarding hepetitis b
Doctor :   ok
Doctor :   please proceed
User :   actually my sister is 5 months pregnant and in her blood test it is showing hepetitis b
User :   what she can do now
Doctor :   may i know the test she had done ?
Doctor :   Has she had Hep B immunisation done before ?
User :   the test are
Doctor :   to interpret her status, full details of the tests are needed
User :   HBeag
User :   HBVDNA (quantitative)
User :   HBfAG
User :   serum albumin 3.1
User :   antii HCV (non reactive)
User :   platelets count .82
Doctor :   are the first 3 tests positive ?
User :   these are the things which are not normal in reports
User :   ya
Doctor :   In case, the first 3 tests are positive, then it is a indicator that she has chronic hepatitis B
User :   she has gone for abortion last year(may)
User :   what is that doc
Doctor :   its a chronic state of Hepatitis B viral infection
Doctor :   In this situation, depending on the counts , Lamivudine and other antiviral medications need to be given to treat the infection
User :   in her hometown hers doc were telling that after that abortion only she got infected
User :   is that si doc
User :   *so
User :   is it fatal
Doctor :   it is highly unlikely, to get infected after a abortion
User :   n she is not gettinf any symptoms
Doctor :   only if she recieved a blood (infected ) transfusion, then it might cause so
User :   although
Doctor :   no its not fatal
Doctor :   it is treatable
User :   no transmission of blood is there
User :   doc
Doctor :   in that case, first, her husband, has to be tested for Hep B
Doctor :   SHE might have got it from him as it is sexually transmitted
Doctor :   Are u there ?
User :   her husband also got tested
User :   but it is negative
User :   infact she had a vaccineearlier
Doctor :   you mean to say, she had been vaccinated for Hepatitis B ?
User :   ya
Doctor :   may i know when was this ?
User :   is it 100%cureable
Doctor :   yes
Doctor :   proper treatment with LAMIVUDINE or RIBAVIRIN , can help to clear the infection
User :   10 years back
User :   along with the boosters
User :   r u there
Doctor :   yes i am here
User :   for how many months it will take fully cure
Doctor :   as i said it is treatable condition
Doctor :   it might take 3 months to 6 months for complete clearance of the virus
User :   it will effect liver also
Doctor :   yes, it is a infection of the liver
Doctor :   hence it is called hepatitis
User :   but after taking the pills then also it will the liver
Doctor :   no
User :   in other words u mean to say jaundice
Doctor :   once the infection is treated and the virus is eliminated, then the risk of damage is less
User :   ok
Doctor :   yes, hepatitis causes jaundice
User :   but doc
User :   how is that possible that after being vaccinated she got infected
User :   it will affect her child also
Doctor :   This is a question, thats, very hard to answer
Doctor :   usually, the risk of vaccine related hepatitis b Infection - is rare
Doctor :   and this might be the only answer, with your sister
User :   it will affect her child also
Doctor :   Yes, if not treated, and the viral loads are very high, then the fetus , will be infected inside the uterus
Doctor :   and can become infected as well
Doctor :   before she concieves, she should undergo the treatment
Doctor :   and get then only get pregnant
User :   but during pregnancy she can not take such high dsoses
Doctor :   since she is already pregnant, she might need other medications to control the infection
User :   but she is already 5 months pregnant
User :   wat medication
Doctor :   need for treatment will depend on the HBV viral loads
Doctor :   like interferon, etc
User :   i tolg u
User :   its in quantitative
User :   *told
Doctor :   you have mentioned that it is positive
Doctor :   but u have not mentioned the actual viral load levels
User :   ok
Doctor :   only if the load is very high, then the medication useful, will be decided
User :   is there any serious problem
User :   ok
User :   and y she is not having any symptoms
Doctor :   that is good for her
User :   means
Doctor :   in case, she is not symptomatic, then it means the virus is dormant, and this is not going to cause any issues
Doctor :   she might just need surveilance and regular blood tests once in a few months
User :   she is in the initial stage
Doctor :   no
User :   then
Doctor :   can u please mention the viral load in numbers , so that i can tell u exactly ?
User :   even i dont know
User :   sorry
User :   but thanks
Doctor :   She might be in the latent chronic stage , where the virus is dormant , and not replicating
Doctor :   in such a situation, chances that the virus is affecting the liver would be less
User :   means it is inside her body in a sleeping mode
Doctor :   Since the HBe Ag is positive, it is indicator of a chronic stage
Doctor :   yes,
User :   thanks
Doctor :   You are most welcome
User :   gud nite
Doctor :   take care and have a good night
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