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i am 28 years old and have been suffering from hepatitis b for the last 5 years . my results are as follows:
AST: 22
ALT: 44
HBV DNA 854 iuml . In march it was 3050 iuml.

Billirubin is 2.33
i am not taking any anti virals . what do u suggest i do . should i take anti virals ? .. why is my billirubin high ? how come the Viral load decreased without any anti virals ? does Hep b have a tendency to show intermittent viral loads ?
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replied February 28th, 2017
Acute hepatitis B usually subsides two to three weeks after symptoms appear, and the liver function usually returns to normal within 16 weeks, and does not require medical treatment.

If very severe, symptoms such as vomiting or diarrhea are present, the affected person may require symptomatic treatment to restore fluids and electrolytes. There are no medications that can prevent acute hepatitis B from becoming chronic.

People acutely infected with HBV can spread the virus to others through sexual contact, or contact with their blood or bodily fluids. Hence you should use protection while your partner is positive for Hepatitis B.

Acute hepatitis B patients recover completely within six months and develop antibodies that give them a life-long immunity. Once repeat tests indicate absence of HbSAg, and Presence of Antibodies to HbSAg in the body, it would be a indicator that a person is aquired immunity to Hepatitis B.

But If serology tests including HbSAg & HbeAg is positive, then it would be a indicator of chronic Hepatitis B.

Chronic hepatitis B infection : Treatment depends on the degree of liver damage which in turn is related to the amount of active, replicating (multiplying) virus in the blood and liver. Regularly measuring the amount of HBV DNA ('viral load') in the blood gives a good idea of how fast the virus is multiplying.

Antiviral therapy is not appropriate for everyone with chronic HBV infection. It is reserved for people whose infection is most likely to progress to active hepatitis or cirrhosis.

You might consult with your doctor and seek a proper advice.

I hope the information provided here is helpful.

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