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Treatment for hepititis B - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
User :   hi dr
User :   my father has been daignosed with hepititis B
Doctor :   Ok
User :   he is currently hospitalized
Doctor :   Ok
User :   wanted to know what is INR?
Doctor :   INR refers to a ratio.
User :   ok
Doctor :   Its one of the coagulation profile test
User :   incase it is increasing, what does it mean?
Doctor :   The standard values for a normal individual is around 1.
User :   ok...
Doctor :   Higher values indicate that blood will take a longer time to clot.
Doctor :   The values are purposefully raised by means of medications in
Doctor :   few conditions like venous thrombosis.
User :   or cardiac related conditions?
Doctor :   It is not directly related.
Doctor :   Let me explain this.
User :   he was on warf & erithrocin prioir to this
User :   ok..
Doctor :   In certain cardiac conditions such as atrial fibrillation, there are high chances of
Doctor :   embolisms(which means blood clot formations and this clot getting dispersed to other organs leading to stroke and heart attacks.)
Doctor :   To prevent this medical drugs such as warf is used.
User :   correct
User :   he has recently been thru a valve replacement surgery
Doctor :   When on this drug, INR levels are to be monitored closely.
User :   so INR going up cud be a result of the medication?
User :   ok
Doctor :   In such conditions, maintaining INR levels between 2 to 2.5 is essential.
Doctor :   If the values are lower than this,
User :   ok, this has nothing to do with hepititis B, rite?
Doctor :   the drug that he is using is not effective in preventing the thrombus and emboli,
Doctor :   and if they are higher than this, then there can be bleeding in other sides.
User :   ok, which we have chked for...nothing there
Doctor :   Hence its use in cardiac conditions.
User :   typically how many days of hospitalization is required, for hepititis B condition?
Doctor :   Hepatitis B can lead to liver functions,
User :   his conditions seems to be improving, apetite has gone up, stools & urination is better...
Doctor :   If there are gross liver injury secondary to this infection, bleeding and clotting factors can get affected, raising the INR.
User :   but the dr is saying that since his INR is going up he cannot be discharged...
Doctor :   hence warf medications may have to reduced if such circumstances occur.
User :   yes, it is stopped since a week now
Doctor :   If the INR values are very high, then there are possible chances of bleeding.
Doctor :   He may need vitamin K injections along with
Doctor :   measures to improve liver functions.
User :   ok...
User :   can hepititis B be cured with medication?
Doctor :   If the INR values are high, it can lead to life threatening complications, hence it is recommended that he stays at the hospital till the INR values comes to control.
User :   ok...
Doctor :   Till date, complete cure for hepatitis B infections is yet to be found.
Doctor :   There are antiviral medications though, which can be used to control the progress of this infections.
Doctor :   The use of this medications will be recommended if the viral loads are higher.'
User :   ok...
Doctor :   Discuss with the gastroenterologist who is treating the condition, if the antiviral medications are essential, as they can cause severe side effects too.
Doctor :   Have you followed what I have suggested?
User :   yes
User :   what kind of side effects?
User : last question...
User :   is hepititis B vaccine safe for pregnant women?
Doctor :   Since hepatitis B vaccine is not a live vaccine, it can be used during pregnancy.
Doctor :   Have you followed?
Doctor :   Do you have any other query?
User :   no
User :   thanks a lot!
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   bye
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