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I have chronic hepatitis B with viral load of 6 million IU/ml. Am I at danger?

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Patient's Query

Hello doctor,

I am currently diagnosed with chronic hepatitis B. Viral load is 6 million IU/ml, SGPT is 85 and others are in range, and HBeAg is 0.06. Should I start medication? Am I in danger? I am a 30-year-old male. I also have a loss of appetite, gastritis, and bloated stomach. Please help.
Answered by Dr. Ajeet Kumar

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

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Hello,

Welcome to icliniq.com.

Yes, you should definitely start the treatment. But I want you to get a baseline renal function tests and fibroscan of the liver. If renal functions are normal then we can start and continue the treatment at the maximum dose.

You can use tablet Tenofovir 300 mg once daily. If the renal function tests are normal. I would urge you to get a fibroscan and alpha-fetoprotein (AFP). If you are married then please get your wife and children tested.

I want to know about your rest or family like your sibling, mother, and father. Is any family history of hepatitis B? It is important because screening has to be performed in case there is suspicion of vertical transmission (from mother to fetus). You can get the tests and see me afteward to discuss the reports of tests and provide other information related to your family. I may then suggest testing for them.

Lastly, I remember that hepatitis B cannot be completely cured but can be substantially controlled with antiviral medicines. It requires follow up and guidance.

The Probable causes

Chronic hepatitis B, HBeAg positive disease.

Investigations to be done

AFP (alpha fetoprotein). Fibroscan of liver.

Regarding follow up

Follow up to discuss the relevant family history and to discuss the lab reports.
Medically reviewed by Dr. Vinodhini J.
Published At June 8, 2020
Reviewed At August 12, 2023

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

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Dr. Ajeet Kumar
Dr. Ajeet Kumar

Medical Gastroenterology

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Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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