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Chronic Hepatitis B during pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
Doctor :   hi
Doctor :   how may i help you today?
User :   Dear sir ,i want to consult with a hepatitis specialist.
Doctor :   Ok
User :   sir ,can i mail u some reports
Doctor :   So do you want to enquire about hepatitis OR you want to seek a face to face appointment with a hepatologist in our panel.
User :   sir i am mailing,and also to u
Doctor :   If YOU want to enquire about hepatitis, i can guide you accordingly, with my expertise as well.
User :   Dear sir, As communicated with you through mail, I am sending you the test reports of my sister.Please revert back me with some new ideas,which will be very helpful to my sister. i am attaching the reports in ascending manner , i.e starting from first the disease dignoised to today. Actually 2 days before we got some another test results as sugggested and tested by the doctor. Now i am sending the same. For your remember,Dear sir i am giving you the history as following my self (brother of patient.) Patient Details: (in Pregnency condition,7.5 months respect to today). 1.We came to know about this,When She first dignoised on dated 14.07.2010 (When she was 6.5 months pregnent):The report is attached as report no-1. 2.After that mailing to you,and by taking the address of one hepatologist of my native ORISSA from your USA DICTIONARY,WE REFER TO THE DOCTOR on 26.07.2010. The test report what he tested are attached as REPORT NO:2,Which we got three days before. Till today starting from the initial day (when she dignoised 14.07.2010) ,i am sending all the reports .Please,kindly tell me the exact status of the viral load in the body of my sister and some suggestions about the treatment.So please revert me with the exact status
Doctor :   Ok, I WILL review the reports and get back to you by email. In the mean time you can disscuss it here as well.
Doctor :   let me read your query, give me a few minutes.
User :   Sir what i mailed u is the history of my sister,i m sending the reports to your email,what u gave.
Doctor :   ok
Doctor :   So this is about your pregnant sister, having diagnosed with hepatitis, is that right.
User :   yes
User :   sir can u tell about u and where u r
Doctor :   It will take some time to review them
Doctor :   I am a well qualified general physician, with experience in gastroenterology as well.
User :   sir u got my report,i clearly gave the hostory,with mentioning 1.2.3
Doctor :   ok
User :   sir tell yes if u got that test results what i mailed to u in your given mail
Doctor :   So do you want a second opinion from a hepatologist or gastroenterologist ?
Doctor :   It will take some time to retrieve them, and review them.
Doctor :   But rest assure, we will try to solve your problem and guide you accordingly.
User :   Sir exactly my sister is very affrid,How can i meet some specialist directly
User :   sir u r there
Doctor :   your file is large and it takes some time to get them
Doctor :   yes i am here, trying to review your files.
User :   How ca i ensure the same,should i meet u or by any other ways
Doctor :   we can chat online,
User :   but sir it is 30 mnts only
Doctor :   and once i have got your complete, i will give you my opinion
Doctor :   No problem , we can try to extend your chat time if possible.
Doctor :   But if you need an appointment with a hepatologist, we can fix one for you with a consultant gastroenterologist in mumbai itself.
User :   yes sir tell me before expire time,so that ican dothe needful
User :   yes sir,i am respecting you,and also want to take your opinion,still i want to take that appoint ment
Doctor :   ok, do not worry, about the time, i will extend your time by 30 minutes and we can discuss in details
User :   thanks sir
User :   You analyse the report,i am here only
Doctor :   the Hbeag report is normal
Doctor :   You have low protein and albumin levels
Doctor :   ok
User :   Sir after analyse,please clearly tell me ,is it accute or chronic,Or which stage is this
Doctor :   and HBSAGE IS positive
Doctor :   this seems to be acute hepatitis b
User :   Sir i am not getting clear,is it allright to take medicine in this period(i.e at 7-5 month)
Doctor :   can you tell me about the current symptoms
Doctor :   what medicines are you talking about ?
Doctor :   and as such, there is not much liver damage in the patient as the reports indicate.
Doctor :   are you there.
User :   Sir after the HBV QUANTITATIVE REAL TIME-PCR TEST,oUR CONCERN DOCTOR TOLD.DONT WORRY,IT IS LESS than detectable limit,he gave a medicine SEVIBO
Doctor :   ok
User :   AND TELL US to chew it daily one tablet
Doctor :   it is a antiviral drug
Doctor :   and is used to treat chronic hepatitis B
User :   Sir kindly sugest me clearly,or fix a apointment with aspecialist in mumbai
Doctor :   It is completely OK to take the drugs
Doctor :   If the condition is not treated, it can be passed on to the child, and the child also will get infected
User :   is it have any bad effect to baby
Doctor :   no nonw
Doctor :   NONE *
User :   hello sir
User :   are u there
User :   sir, i m here,plese be online
Doctor :   ok
Doctor :   'i was preparing a mail to send it to you.
User :   yes u prepare,we have 45 minutes
Doctor :   OK
User :   sir the medicine has no bad iffect to baby,is it right
Doctor :   As we were discussing earlier
Doctor :   the medicine, SEVIBO, is a good drug to treat chronic hepatitis B
Doctor :   AND THE benefits of treating your sister is more
Doctor :   also the side effects with the drug to the fetus is minimum
Doctor :   So you can definitely give this medicine to her, without worrying
Doctor :   ARE you following what i have told you?
User :   yes
User :   sir, ca u suggest me is it curable
Doctor :   also, please understanfd that this condition your sister is having is mild
Doctor :   and once she undergoes proper treatment, she will recover completely
Doctor :   But proper monitoring of liver function tests, and viral load is needed at regular intervals.
Doctor :   And as your reports show, your sister does not seem to have major liver damage.
Doctor :   Can you tell me, how your sister got infected with this infection, in the first place?
User :   sir as i mentioned the date and total history,she was tested as per her gining doctor on14.07.2010 (When she was 6.5 months pregnent)
Doctor :   ok,
User :   As a rergular check up
Doctor :   Hepatitis B is spread by blood transfusion (infected blood) which is rare nowadays, but mainly by sexual intercourse. Please note, that her Husband, will also have to be checked for the infection, as it is spread by sexual intercourse as well.
Doctor :   if not all ready checked, please ask him to get checked as well, as early treatment will help him as well.
Doctor :   As i was suggesting, if you need a face to face appointment, i will suggest a few doctors, whom you can consult.
Doctor :   Are you with me?
User :   In that report hbsag+ve is found,After that he suggested for some more tests as i mailed u.After seeing the tesr reports on 26.07 2010.(HBV QUANTITATIVE REAL TIME PCR),DOCTOR TOLD US ,DONT WORRY,IT IS less than detectable limit and gave us the medicine Doctor :   ok
User :   her husband checked that day only,but it was -ve
Doctor :   ok, good then
Doctor :   WAS she ever given any blood at any hospital ? Does she work anywhere?
User :   Sir we think during check up by hand gloves,it might come
Doctor :   it is very rare though,
User :   No sir ,my sister is a house she ever given any blood at any hospital
Doctor :   ok
Doctor :   So your main concern was about the medicine sevibo and the safely of the baby , is that right?
Doctor :   Are you satisfied now?
User :   Yes and the stage of the disease, i need a face to face appointment
Doctor :   ok
Doctor :   i will suggest a few doctors
User :   Sir, suggest me,According to u we are in which stage ,is it will cure ,and might we get -ve
Doctor :   She is in chronic hepatitis B stage - which is mild
Doctor :   please repeat the HBsAG PANEL once the course of medicine is completed.
Doctor :   and at that time, if the HBsAg antigen is NEGATIVE, she would have been cured.
Doctor :   Did you understand ?
Doctor :   PLEASE tell me which part of mumbai do you stay, so that i can find a specialist for you.
User :   i am staying in navi mumbai,nerul,but i can go any where in mumbai
Doctor :   OK
Doctor :  
Doctor :   both gastroenterologists do have experience in hepatology as well
Doctor :   Have you understood ?
Doctor :   Are you there ?
User :   How is it in chronic
Doctor :   Acute stage - of hepatitis - is very active ( and causes severe disease, and serious symptoms)
Doctor :   But once the condtion resolves, and then it enters into the chronic stage,
User :   which is dengerious accute or chronic
Doctor :   when it resolves into a latent stage, with continuous progressive liver damage
Doctor :   Acute is dangerous as it can cause more damage in a very short time
Doctor :   But chronic, can cause more damage over years, ONLY IF NOT TREATED
Doctor :   WITH TREATMENT, the condition resolves and the patient gets cured in about 85% cases.
Doctor :   Are you there ?
Doctor :   Do you have any other query ?
Doctor :  
It seems you have moved out to a different page, please log in back if you have any other medical queries.
Doctor :   Thanks for consulting me here
Doctor :   bye for now.
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