What should be done with the test results for the diagnosis of hepatitis B infection?


Question
Hello doctor,
Recently, I had a test. Diagnosis of HBV infection HBsAg+ (3.53) Bilirubin T.P * 8.06 AST 18 ALT 9 GGT* 12 AFP 1.33 AntiHCV 0.06 HBeAg 0.355. What should I do if the doctor gives me the test results to diagnose hepatitis B infection? I would like to thank the doctor.
Truong Linh (1995)
Answer
Answered by Master, Doctor Vu Tan Phuc - Gastroenterologist, Department of Medical Examination & Internal Medicine - Vinmec Phu Quoc International General Hospital.
Hello,
With the question "What should I do with the test results for hepatitis B infection?", the doctor would like to answer as follows:
You have HBV but it is not clear how long you have had it? If you are newly diagnosed, your doctor advises you not to worry, 6 months after re-testing, you may be free of hepatitis B (because hepatitis B within 6 months may or may not go away on its own). If you get tested again 6 months later and you still have it, you have chronic hepatitis B infection. At that time, your doctor will check your liver enzymes for an increase or not and do some other evaluations, from which the appropriate treatment will be directed.
In case you have been infected with hepatitis B for a long time, with your liver enzyme results and your age, you do not need to be treated with drugs. Just remember to check your liver enzymes every 3-6 months. If liver enzymes are normal at that time, you should have another test 3-6 months later. As long as your liver enzymes rise (above double the maximum value of the normal range), your doctor will advise you on other deeper problems. Currently, you should limit alcohol and prevent spreading to people around you.
If you still have questions about the test results for diagnosis of hepatitis B infection, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!

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