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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Treatment Required If Hepatitis B (HBSAG Positive) Is Inactive And Low ?

hi doctor , I am Anil age 27, recently I was selected for MNC company as a Accountant in SAUDI. But problem is I am having Hepatitis B (HBSAG Positive), My family doctor suggested me no need of any treatment now because virus is inactive and low in..,please help me doctor............
Mon, 4 Aug 2014
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Gastroenterologist, Surgical 's  Response
Hi Mr Anil,
Where are you writing from?
I am so sorry to hear about your diagnosis. But your doctor is absolutely right. Unlike hepatitis C, in hepatitis B, there is no need to take treatment if your liver function is normal and if your viral load is low. You will need additional tests to look for other markers of infection and to see if you are infective to others (Hepatitis B PCR, Anti-Hbs ab, Anti Hbc ab, Anti Hbe Ab, and also for hepatitis C). Based on this we can categorise you as a carrier or as someone who has cleared the virus. Most people will clear the virus by themselves without any treatment. Only a minority become chronic carriers and only a minority in them will develop cirrhosis at a later stage.
Hepatitis B only needs treatment if the viral load is very high or if the liver is being damaged as evident from blood tests. In the mean time, I would advise you to take precautions against spreading the virus (avoid contact with body fluids).

I hope this helped and I hope you feel better soon. Plesae do not hesitate to contact me for further details - rxxsuresh@gmail.com
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Is Treatment Required If Hepatitis B (HBSAG Positive) Is Inactive And Low ?

Hi Mr Anil, Where are you writing from? I am so sorry to hear about your diagnosis. But your doctor is absolutely right. Unlike hepatitis C, in hepatitis B, there is no need to take treatment if your liver function is normal and if your viral load is low. You will need additional tests to look for other markers of infection and to see if you are infective to others (Hepatitis B PCR, Anti-Hbs ab, Anti Hbc ab, Anti Hbe Ab, and also for hepatitis C). Based on this we can categorise you as a carrier or as someone who has cleared the virus. Most people will clear the virus by themselves without any treatment. Only a minority become chronic carriers and only a minority in them will develop cirrhosis at a later stage. Hepatitis B only needs treatment if the viral load is very high or if the liver is being damaged as evident from blood tests. In the mean time, I would advise you to take precautions against spreading the virus (avoid contact with body fluids). I hope this helped and I hope you feel better soon. Plesae do not hesitate to contact me for further details - rxxsuresh@gmail.com