Doctor insights on:
Blood contact: Mostly through blood exposure (primarily shared needles or syringes during drug use). However, it can also be transmitted sexually, especially through rough or poorly lubricated intercourse where there may be blood exposure. ...Read more
Hep B: Hep B core IgM antibody is only present in acute infection. The IgM will then be lost, and you develop Heb B core antibody total (IgG) that persists for life. After acute infection, one hopefully loses the surface antigen and develops surface antibody, which indicates lifelong immunity. The surface antibody also persists for life. If persisting surface antigen, this indicates chronic infection. ...Read more
Numbers and type: Viral load refers to how many viral molecules can be detected in the blood. It gives an idea about how active the virus is and can be used to monitor response to therapy. Genotype refers to a test that can identify subtypes of hep c. Certain genotypes are more likely to respond to a given therapy, so this information can be useful in deciding in what treatment, if any, would be best. ...Read more
IMy HBV test results (red cross): Hepatitis B Surface Antigen: Nonreactive; Hepatitis B Core Antibodies: Reactive; HBV PCR: Negative. Do I have HBV?
Cured, but...: If a person's Hep B surface antigen is nonreactive, that means the lab does not find pieces of the surface of the virus. If her Hep B virus PCR is negative, that means the lab does not find the virus's DNA (genes). If the core antibody is reactive that means her immune system REMEMBERS being infected with Hep B. She is cured, but some viral DNA might be attached to her own human DNA in her liver. ...Read more
HBV test results: Hepatitis B Surface Antigen: Nonreactive; Hepatitis B Core Antibodies: Reactive; HBV PCR: Negative. Need any medication or vaccine?
Excellent question: and your story stumps many a doctor, often! :) a lot of the recommendations depend on - are you someone with risk factors for HBV? is this the first time that it has been checked? are your liver enzymes normal? are you about to undergo any procedures/ treatments that could put you at risk for HBV? If you have no sig risk factors, yes, I'd vaccinate you if there's potential for exposure. ...Read more
Yes.: It is possible. The rate of clearance is low - maybe 1% per year or so. The diagnosis of the inactive carrier state and clearance can both be tricky so be sure you are speaking with someone knowledgeable about Chronic Hep B. ...Read more
Hepatitis B ANTIBODY: After you have given three series of hepatitis b vaccine, body oruduces hepatitis b surface antibodies which is the marker of immunity against hepatitis b disease, and it can be measured in units.Hepatitis b core antibodies appear in persons infected with hep[atitis b and persist all life hepatitis b IgM antibody means acute infection with hepatitis b virus. ...Read more
Interpret hepatitis B panel results:
Hep B surface antigen (HBsAg) - Non-reactive, Hep B core Total antibody Anti-HBc Reactive, NAT Non-reactive?
Data?: To answer your question you need to be tested, so see your doctor and have blood tests done. If a test is positive for hepatitis b antibodies, it means you have been exposed and developed an immune reaction to the virus, or you have been vaccinated against it (very common now). If you are hep b antigen positive, you have an active infection with the virus. ...Read more