HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Suggest Treatment For Hepatitis B Infection

Posted on Mon, 8 Feb 2016

Question: Sir i am suffering from jaundice since two weeks my Total Billirubin 10 days Before Was 6.48 direct billirubin was 4.19 and indirect billirubin was 2.29 sgpt 129 and sgot 104 and HBsAg positive Anti - HBc IgM reactive and Anti - HBE non reactive my doctor tell me every thing is ok give me udiliv 300 thrice a day now today my total billirubin is 9.3 and direct 8.0 and indirect 1.30 and sgpt 1834 prothrombin time control is 14.0 and prothrombin time test is 16.0 isi value 1.1 and inr 1.16 please suggest i am worried about acute Fluminant Hbv and please tell me what are the chance to get rid of virus is my condition serious.

Answered by Dr. Dr.P.Ratnakar Kini (24 hours later)

Brief Answer:
Need to be under medical supervision

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

You are having either an acute viral hepatitis due to Hepatitis B infection or its reactivation.

Your INR is within normal limits and your mental status is good and you do not have any bleeding episodes. All these indicate you do not have acute fulminant liver failure right now.

Since your liver enzymes have raised abruptly from 129 ten days ago to 1834 now, you need to be under supervision of a hepatologist/gatroenterologist.
Periodic evaluation of the liver function should be done.

Liver protective medications like silymarin and N acetyl cysteine would help in recovery.

Avoid alcohol and liver toxic medications.

Consult a hepatologist/gastroenterologist for regular follow up and prescription.

Let me know if you have any more questions.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr.P.Ratnakar Kini (12 minutes later)

Sir please tell me any future chances of developing acute Fluminant hepatitis please

Answered by Dr. Dr.P.Ratnakar Kini (3 minutes later)

Brief Answer:
Only periodic follow up will help

Detailed Answer:
Hi,
Right now you are not having any features of fulminant hepatitis.
Only periodic follow up will let you know about the disease progression and recovery.

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr.P.Ratnakar Kini (5 minutes later)

Last question as i think its already more then 4 months since me exposure to the virus what are the chance to get rid of the virus in next 2 months as anyone dont wanted to be a chronically infected and what are the future chance of cure of hbv

Answered by Dr. Dr.P.Ratnakar Kini (32 minutes later)

Brief Answer:
5% of infected adults develop chronic infection

Detailed Answer:
Hi,
If the infection is acquired during adulthood, the chances of developing chronic infection is less.
Only about 5% develop chronic infection.

Regards,
Dr.R.K.

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj