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Treatment and diet precautions for HBV positive - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3479 Questions
Doctor :   Hi
User :   yes Dr. AAAAAAA
Doctor :   How can i help you
Doctor :  
Please continue with your query
User :   my doubt is whether i should contenue any medicine or vaccine
User :   or can i simply stop the madicine and what precautions should i take
Doctor :   I will guide you in this ?
Doctor :  
the question of vaccine for hepatitis B is ruled out
User :   o.k
Doctor :  
as you were tested positive for hepatitis
Doctor :  
Hepatitis B
Doctor :  
by this time you have developed antibodies against the virus
Doctor :  
and the immunity has developed in you
Doctor :  
so the need of vaccine is not justified
Doctor :  
Is that fine
User :   yes, but the HBS Ag is 2.7 (tested on 6/09)
Doctor :   Compared to early reading the present one is reduced
Doctor :  
when did you stop the antiviral medications?
User :   last month i.e, 10 days before the testing of DNA on 10/08/09
Doctor :  
did the doctor advice you stop it ?
User :   yah,
Doctor :  
ok
Doctor :  
then no need to restart the tablets now
User :   he asked me to check up the dna and then he will advice me what to do
Doctor :  
you need a continuous monitoring of
Doctor :   the viral load
Doctor :  
thats Hepatitis DNA viral load test
User :   as the SEBIVO is costly one can i contenue the HEPETECH tablets
User :   i will monitor for every 6 months, if its with in the normal, its o.k or other wise can i contenue the hepetech tablets?
Doctor :   let me explain this to you
Doctor :  
SEBIVO is a antiviral drug which contains TELBIVUDINE
User :   since bigining i am not having any problems of disetion or any related problems
Doctor :  
this is very good drug
Doctor :  
which help you to clear the virus load
Doctor :  
but heapatec is a liver enzyme preparation
Doctor :   to keep the liver in healthy state
Doctor :   after the liver injury
User :   so its better to contenue for another 2/3 months SEBIVO for complete removal of viral load or what is your advice
Doctor :  
the virus cant be completely eliminated from the body
Doctor :   but it can be kept in a halt or low levels
Doctor :  
this SEBIVO tablets prevents further multiplication of the virus
Doctor :   so ideal would be for you to take medications
Doctor :   Ok
Doctor :  
please proceed
User :   can i stop the madicine right now and after 6 months on the basis of the DNA report shall i take decission whether i take the sebivo or not?
Doctor :  
Now no need to take the tablets
Doctor :  
once you discuss with the gastroenterologist
Doctor :  
then you can take it
Doctor :  
even if appointment is late nothing to worry
Doctor :   Now your count has drastically reduced
User :   yes doctor, one thing i had forgetten to tell you that i had under gone CABG surgery in Dec. 2007, and i am quite fit now
Doctor :  
ok
Doctor :   do you any medical illness
Doctor :  
like high blood pressure
Doctor :  
or diabetes
User :   means
Doctor :   do you have high blood pressure or high sugar levels
User :   no diabetis, my B.P maintaining between 120 -130/75-80, and i am on medication of CARDACE 2.5 mg 3 tablets/day and ecosprin-150 /day
Doctor :  
ok
Doctor :   but now you are fit with your heart issue right
User :   yes i am quite fit and managing all my activities actively, and i am doing mornig walk of 6km and some yogasans too. for 1hr,.
Doctor :   thats good
Doctor :  
i will also advice you few medical tips to liver protection
Doctor :  
1. Avoid spicy and oily food
Doctor :  
especially fatty foods
Doctor :  
do you consume non veg foods
User :   only i am worrying about this HBV, i am pure vegitarion, and very cautious about the jung food and oil food.
Doctor :   ok
User :   my weight is 62.5 kg and hight is 165cm
Doctor :  
Use Hepamerez syrup or tablets
Doctor :  
this will protect your liver
Doctor :  
and gives good support to liver
Doctor :  
If you are taking syrup then 8 ml, 3 times a day
Doctor :  
if you are taking tablet once daily for 1 month
User :   thank you very much doctor, AAAAAAA for giving me a good and valuable knowledge of my health care. can i talk with you over phone.
Doctor :  
Be relaxed
Doctor :   Nothing to worry
Doctor :  
your will get completely treated with hepatitis B
User :   o.k by doctor, have a nice day
Doctor :   Wish you a health life
Doctor :  
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Doctor :  
and comment box
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   thank you once again
Doctor :   Ok take care bye for now
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