apollo
  • Male
  • 59 Years
  • 14/08/2025

My father just got his hepatitis B report positive for the first time - he's 59 with HBsAg 300, anti-HBc 11.93, and anti-HBc IgM negative. The test was done before his eye surgery and he has no symptoms right now. Since we can't visit the hospital easily due to COVID, what should be our next steps? When does treatment usually start for cases like his and what are the best treatment options available? We live near Vellore in Tamil Nadu - any guidance would be really helpful

Doctor 1

Answered by 1 Apollo Doctors

Your father's Hepatitis B test result (HBsAg positive, anti-HBc positive, anti-HBc IgM negative) indicates a chronic Hepatitis B infection. The first step is to consult a doctor to discuss treatment options, even if he's asymptomatic, as treatment can help manage the infection and prevent long-term complications

Dr. Kamran Suggests...

Consult a Hepatologist

Answered 14/08/2025

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I'm worried because my SGPT levels are high and I've been taking medication like Cirrosam 400, Obeticholic acid, Ursocol 300, and Evion for the past two months. The only one that seems to help is the Obeticholic acid. Interestingly, my lipid profile is normal and I've tested negative for Hepatitis B and C. My blood sugar levels are also within the normal range. On top of this, I've been dealing with hyperuricemia. Can you tell me how long it might take for my SGPT levels to get back to normal?

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I'm really concerned because my father's HSB Ag test came back positive, and we just got his ultrasound results. Most of the findings look okay, but it mentioned that the echotexture of his liver is slightly altered. Should we be worried about that? Is this something serious or just a minor issue?

your father's situation: _HSbAg positive_: Indicates hepatitis B infection. _Ultrasound results_: 1. _Echotexture alteration_: Suggests mild liver inflammation or fibrosis, common in hepatitis B patients. 2. _Other results okay_: Indicates no significant liver damage or cirrhosis. _Next steps_: 1. _Consult a hepatologist_: Discuss the ultrasound results and determine the best course of action. 2. _Liver function tests (LFTs)_: Regularly monitor LFTs to track liver health. 3. _Viral load test_: Measure the hepatitis B virus's presence in the blood. 4. _Consider antiviral treatment_: If recommended by the hepatologist, antiviral medication can help manage the infection.

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