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Hep B positive, getting married - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   my daughter detected hepatitis b about 2 years back while donating blood.
Viral load was 15486. Treated by doctor by Beraclude .5 . After 6.5 months Viral load was 3150.
Discontinued medicine after 9 months . About 15 days back Australian Antigen test was +. Ultrasound was normal in July,2009. Any complication in marriage.

Doctor :   Hi
Doctor :   IAM Doctor :   I am reading ur query
Doctor :   Is the E antigen positive
User :   yes
Doctor :   When the E-antigen is positive - there is high chance of infection
Doctor :   The virus is multiplying
User :   What should we do now ?
Doctor :   The chances of transmission are there to the partner at any point of life.
User :   Any treatment at this point ?
Doctor :   As per your daughter, she need to be back on treatment
Doctor :   But I do not exactly say that it will stop infecting the guy
User :   Should we marry her at this stage . Where can we consult you doctor.
Doctor :   Let me make it clear few points, is it Hep B e ag?
User :   What is this ?
Doctor :   Thre are different fragments in hepatitis B infection. Surface antigen is positive all the time
Doctor :   But Hep B e antigen will be positive only if the infection is active
User :   pl advise us any test to be carried out now ?
Doctor :   Australian Antigen is Hepatitis B surface antigen
Doctor :   It can be positive all the life
Doctor :   But that does not mean she has infective process
Doctor :   or she transmits the infection to partner
Doctor :   But more important is HBeAg test
User :   What test hould you advise now ?
Doctor :   That is called 'e' Antigen test of Hepatitis
Doctor :   'e' antigen if positive indicates that the virus is still replicating inside
User :   Will you pl give me your address and contact no.
Doctor :   Hence I want you to get the complete Hepatitis B profile once again
User :   Right dr . But how can I meet you ?
Doctor :   Actually I am sorry I am not available for physical consultation as I am in
Doctor :   You can meet a Hepatologist or Gastroenterologist near your area
Doctor :   Simple test will rule out all your apprehensions
Doctor :   Get HBeAg test
Doctor :   If it is negative she is safe for marriage
User :   Can you advise some doctor at Meerut or Delhi.
Doctor :   and make sure that the would be son in law gets a
Doctor :   Hepatitis B vaccine
Doctor :   PSRI Institute of Gastroenterology
User :   Any alarm at this stage .
Doctor :   I do not see any now
Doctor :   She should have been treated perfectly well
Doctor :   as the Ultrasound liver has no changes
User :   Yes it was quite normal .
Doctor :   Do have any other questions?
User :   No , thank you.
Doctor :   In summary, get the Heb E ag test done and consult the Hepatologist to guide for further management
User :   OK doctor.
Doctor :   Thank you for consulting
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