Hi Doctor, I am Rajesh from India. I need some details about hbsag positive. My cousin is 23 years old. He was diagnosed Hepatitis B undetected form 2 years back. He has got Acute bronchitis as well. He did not check his body condition for the past 2 years. He decided there is no medication. He is saying he is having symptoms of cirrhosis. Can you please clarify the treatments and prevention methods at this stage for this condition. Guide me how to handle the situation.

Dr. Lalit Kumar TripathyGeneral Physician40yrs exp

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1. There is no treatment that eradicates hepatitis b infection completely. 2. However treatment is available to arrest the liver damage and subsequent development of cirrhosis of liver/carcinoma of liver 3. In most of the cases the hepatitis b virus automatically gets cleared from the blood within 6 months. If the virus persists after 6 months it is known as chronic hepatitis b 4.30-90% of patient suffering from chronic hepatitis b subsequently develop cirrhosis of liver/carcinoma of liver if not treated 5. You have to regularly do the blood test to monitor hbsag, hbeag hbv dna, real time pcr for viral load (rapid diagnostic test), liver function test for sgot/sgpt criteria for starting anti viral drugs a) patient should be observed for 6 months b) if sgot (alt/sgpt (ast) level is more than two times the normal value), hbeag is positive, hbvdna is more than 20, 000/ml, and liver biopsy showing necro inflammatory changes, he may require treatment with anti viral drugs. C) consult hepatologist/gastro enterologist for further advice. 

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