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HbsAg is positive and diagnosed as chronic hepatitis. What do you recommend? - Online Doctor Chats

Date : 24-Nov-2013
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User:Hi Doctor,
Doctor:Welcome back.
Doctor:Do you have any more questions?
User:this time my query is about myself
User:I am HbsAg positive...went to a hepatologist and she said that it is chronic hepatitis
User:did some tests to check the virus count int he blood
User:the virus count is below detectable levels as of now
User:so the doctor said that there is no medication required as of now and we need to watch it every couple of years
User:what do you suggest
Doctor:Yes, that's the right advice. does this kind of situation proceed over the age
User:i am 34 now
Doctor:Hepatitis virus behaves differently in different individuals. A few individuals develop antibodies which keep the virus away from effecting the liver.
Doctor:You will need antiviral therapy when the antibody levels are low and when viral count increases.
Doctor:At this point of time it would be difficult to predict whether or not you will need antiviral therapy.
User:There was an antibody test also done
Doctor:I understand you have developed chronic hepatitis; but the only suggestion to you would be to regularly follow up with your doctor.
Doctor:He will be the right person to decide when to start the antiviral therapy.
User:ok,,, i understand
User:But what has baffeled me is that how did i get it inspite of the fact that I was caccinated
Doctor:When were you vaccinated and how many doses of vaccine did you receive?
Doctor:Hepatitis vaccination is known to be for life if a person receives complete set of vaccines.
Doctor:In a few due to an immunocompromised state such as during a serious infection
Doctor:protection level might be slightly lowered.
User:i was vaccinated may be when 1 was 10-12 years old, because the vaccine was new that time...i was given the required doses, though I dont remeber how many now
Doctor:If you were vaccinated at 10 years; the possibilities are
Doctor:1. You may have become infected before vaccination
Doctor:2. After the vaccination if you did not receive the three set of vaccines.
Doctor:3. After 20 years if you had an immunocompromised state and an exposure to infectino.
Doctor:It is definitely not easy to predict which of the 3 period caused the infection.
Doctor:Nevertheless follow up with your doctor and plan your treatment based on test results.
Doctor:Do you have any other questions?
User:ok, i understand...i have no furher questions, thank you
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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