Hi Doctors, I did my first test for HBsAg and core antibody six months ago and was positive. I then did HBV DNA and had 2318iu/ml two weeks ago. I have been on livolin forte since two weeks ago also. Can anyone advice me in the treatment method best suitable for my profile. I feel very okay, no symptoms whatsoever. Do I just monitor over time or seek medication. Best regards.
Hello, Hepatitis B is mostly a chronic illness, and having symptoms is not a very good marker of gauging the progress of the disease. In fact, symptoms may come only at a very advanced stage. Therefore, it is necessary to monitor your infection and provide adequate treatment if required. In this regard, a test for HB-e-Antigen and Anti Hb-e-Antigen antibodies must be done. This will inform us whether the virus is actively replicating or not and whether your body has started an immune response against it. If you already have these tests done, please post their results. Physicians generally don't start antivirals straight away in cases of Hepatitis B, Especially when Anti HB-e-antigen antibodies are positive, but wait for about 6 months and then repeat to check the viral load. If the virus has disappeared, no treatment is needed. If the virus persists in the blood (checked via HBV DNA), then antivirals must be started. I hope I have made self clear. Thank you and good luck. Regards