dear sir, i have been hbs ag positive ,hbe negative and normal ALT for last 13 years.but recently only i tested viral load and it is 20560 iu/ml .i am 32 now. i got occasional drinking habit(say 10-12 times in an year).otherwise no major health issues for me. seeking your advice regards vishnu kerala india
Thanks for your question on Chat Doctor. In my opinion you should consult gastroenterologist as your viral load is quite high. And this high viral load can cause liver damage. I suggest you to check anti HBS antibodies. As this defines protection. And I think your this tier will be negative as your viral load is high. So you need to start treatment for this. Antivirals are available for Hepatitis B virus, and they are quite effective in decreasing viral load and increasing anti Antibodies. So consult gastroenterologist and discuss these things.