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Dr. Andrew Rynne

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I am hbv positive carrier. Experiencing some cramp, what is the treatment now ?

I Im hbv positive carrier. It was found on 28.1.2011. since then I underwent homeopathi medicine. Before diagnosis I had no symptoms except burning of palms,sole and warm air came from mouth. While getting treatment I have been experiencing some crap just bellow the right side ribs, fitigue,tired, ligh cola cloured urine and eyes were shrunken. I have been taking plenthy of water. less Nonveg meals and I had no other habits like drinking and smoking. When checked my wife she found hbsag negetive. Immediately gave her vaccination two shots were completed and third shot sheduled to be on 4.8.11. I have been participatinng sex by using condom. My children were also HBs ag negetive.( HBS ab not tested so far) They were vaccinated after their birth . I am worried about while treatment, is the virus activated? if so, the virus harm my liver? ( my previous SGPT-18 IU/L). I heard that hbv trasmitted through sweat, is it true?
Fri, 23 Sep 2011
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Ayurveda Specialist 's  Response
Dear Ponduru
Your being positive for Hbv is sufficient to call for proper care in diet and regular medicine.The way have explained your condition i believe homeopathic remedy has not offered the desired results, either it calls for re selection of medicine or you should look for other alternatives. Ayurveda offers good help in such cases There are some drugs which have given proved results. Tab. Nirocil and sy livomyn for the base line treatment. I also use punarnava kshar in such cases. you can take your decision.
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
Hello.welcome.HBV is present in saliva and semen and not in sweat.Complications of HBV are chronic hepatitis,cirrhosis,hepatocellular carcinoma,glomerulonephritis etc.You must take interferons and antiviral treatment.Good luck.
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Pediatrician Dr. Jasbir S Chugh's  Response
Dear Ponduru,
Inactive carriers form the largest group in chronic HBV infected patients. Around 300 million people are inactive carriers. As your SGPT level is normal you should get a special test: the level of HBV DNA done by a PCR based assay method. This is done in big laborataries. The inactive HBsAg carrier state is diagnosed by absence of HBeAg and presence of anti-HBe, undetectable or low levels of HBV DNA in PCR-based assays, repeatedly normal ALT levels. You can have these tests repeated every six months and ALT levels(SGOT,SGPT) every three months. If these are within normal level and HBV DNA by PCR method remains undetectable or is very low, you do not need any treatment as your disease is inactive.
The prognosis of the inactive HBsAg carrier state is usually benign. Long-term follow- up (up to 18 years) of these carriers has indicated that the vast majority show sustained biochemical remission and very low risk of cirrhosis or liver cancer. However it may become reactivated leading to some complications of liver. It is good that you are non alcoholic. keep taking good nutritious diet and regularly consult a hospital based or private Hepatologist(Liver specialist)/Gastroenterologist in or near your city if possible in a medical college.
The virus is secreted in sweat and may be passed on to the contacts. However as your wife and children have received Hep B immunization, there should be no risk of them getting this infection.

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Ayurveda Specialist Dr. Shailendra Kumar Naithani's  Response
Welcome to HCM
Hepatitis -B carrier are symptom free cases where surface antigen remains positive more than 6 months , go for Anhbeag and AnhBcag and HBV DNA QUALITATIVE if viral load is below detecable limit , no need of treatment with extra care of liver and herbal anti-oxidant
herbal treatment is best in hepatic ailments consult near by Ayurvedic physician
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Homeopath Dr. Swati Ramkumar's  Response
Hello,
Hepatitis B carrier is a term used to describe those who have hepatitis B surface antigen (HBsAg) in the blood for more than 6 months.
The majority of chronic Hepatitis B carrier do not develop chronic hepatitis and do not require treatment, with only about a quarter developing chronic hepatitis placing them at a higher risk of developing liver cancer or cirrhosis. Hence it is important to undergo regular investigations inorder to know the liver health.
As regards your kids since they have been vaccinated, chances of them developing the disease is minimal.
But you need to take care of a few things like-
1) In case of any bleeding or injury, take care that the blood does not come in contact with anyone. dress the wound properly and dispose of seperately the blood soaked cotton or cloth.Or the clothes contaminated by blood can be disinfected by bleach.
2)Inform your dentist, pathologist or any other doctor about your condition.
3) Do not share personal care items like razor, toothbrush, nail cutter with anyone
4) Go for regular blood tests(liver function tests) to know your status (atleast once in 6 months)

Transmission of hepatitis B virus results from exposure to infectious blood or body fluids such as semen and vaginal fluids,saliva, tears ,and urine of chronic carriers.However, Hepatitis B viruses cannot be spread by casual contact, such as holding hands, sharing eating utensils or drinking glasses, breast-feeding, kissing, hugging, coughing, or sneezing or sweat.

In case of any further queries, you may write to dr.swati.ramkumar@gmail.com
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Ayurveda Specialist Dr. Munish Sood's  Response
I. complete bed rest is essential till S.Bilirubin
II.diet:
.fat free diet,plenty of sweets,sugar
.boiled water at home,strictly no alcohol
III.all hepatotoxic drugs should be stopped
IV.no sedatives should be given if jaundice is deep
V.
.urine for bile salts/bile pigments
.S.Bilirubin-every week
.Australian Antigen for Hepatitis B if jaundice is recurrent,chronic or with weight loss
.USG-Gb if obstruction is suspected
1.HBsAg:acute/chronic infection
2.IgM Anti-HBc: acute HBV infection
3.IgG Anti-HBc:past exposure to HBV
4.Anti-HBs:immunity against HBV
5.HBeAg:replicative state
6.Anti-HBe: continued infectious state.

**TREATMENT
first is prevention then treatment
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