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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Should Be Done After Diagnoses Of Hepatitis B And Jaundice?

hello dr. i m 24 years old. i was detected with hep b in april 2008 along with episod of jaundis. and in 2009 start baraclud 0.5mg for two tears. that time lft normal , HbsAg +, HbeAb +, HbeAg -, Hbv DNA 9300 IU/ML. After 6 months Hbv DNA Become Not detected. after stoping baraclud once again after 4 months Hbv DNA become 3000iu/ml. LFT NORMAL.
Wed, 30 Dec 2015
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General & Family Physician,  's  Response
Hi. I went through your history.
According to your history of 2008, you had the immune tolerant phase of natural course of chronic hepatitis B as your ALT was normal. This phase did not require treatment at that time but observation.
Any how currently you have again low viral load with normal ALT. Although you haven't repeated HBeAg and HBeAg recently, but it seems you have still immune tolerant phase.
You kindly check HBeAg and HBeAb Status. You need to check ALT every 6 monthly and HBV DNA levels if ALT becomes high. You will require treatment if both ALT and HBV DNA levels are high.
Kindly be in touch with a good gastroenterologist or hepatologist.
I wish you good luck
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What Should Be Done After Diagnoses Of Hepatitis B And Jaundice?

Hi. I went through your history. According to your history of 2008, you had the immune tolerant phase of natural course of chronic hepatitis B as your ALT was normal. This phase did not require treatment at that time but observation. Any how currently you have again low viral load with normal ALT. Although you haven t repeated HBeAg and HBeAg recently, but it seems you have still immune tolerant phase. You kindly check HBeAg and HBeAb Status. You need to check ALT every 6 monthly and HBV DNA levels if ALT becomes high. You will require treatment if both ALT and HBV DNA levels are high. Kindly be in touch with a good gastroenterologist or hepatologist. I wish you good luck