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What Do My Lab Test Reports Indicate?

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Posted on Thu, 29 Oct 2015
Question: Dear Doctor,

I have been diagonosis with Hepatitis B positive. My test results are:
HScAB- Hepatitis B Core total Antibodies : 11.32
‎HBsAg: 2571‎
HAV IGM Antibodies :  0.19
‎HCV- Total Antibodies : Non Reactive
Bilirubin Total- 1.4 mg/dl
Bilirubin Direct- 0.3 mg/dl
Bilirubin Indirect 1.1 mg/dl

My doctor told me that I have Chronic Hepatitis B and Dyslipidemia and suggested me to go for the following tests:
UGI endoscopy
Elastrography
HBeAg
IgM Anti HBc
HBV DNA quantification ‎

‎I don't feel any pain but feels lazy and tired. Kindly advise me should I go for these tests??

‎Regards,
XXXX
doctor
Answered by Dr. Suresh Heijebu (1 hour later)
Brief Answer:
All prescribed tests are mandatory in your case

Detailed Answer:
Hello, Sir.

I can understand your concern.

I have gone through your reports in detail.

Based on your reports, you need HBeAg, IgM anti HBC and HBV DNA estimation.

This is to assess the severity of viral replication and indicate need for escalation of does of antiviral drugs.

The need for UGIE is to know to whether imminent bleeding veins have developed in the stomach or esophagus in the setting of chronic liver disease which can cause a condition known as Portal hypertension. This pH can cause esophageal varices. If detected early through UGIE, they can be prevented from rupture and bleeding.

Elastography directly assess the liver architecture to detect the possibility of liver fibrosis which can subsequently lead to cirrhosis and PH.

Hence all tests advised by your doctor are extremely mandatory even though you do not currently experience any symptoms.

Thank you.



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Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Suresh Heijebu

Psychiatrist

Practicing since :2010

Answered : 3646 Questions

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What Do My Lab Test Reports Indicate?

Brief Answer: All prescribed tests are mandatory in your case Detailed Answer: Hello, Sir. I can understand your concern. I have gone through your reports in detail. Based on your reports, you need HBeAg, IgM anti HBC and HBV DNA estimation. This is to assess the severity of viral replication and indicate need for escalation of does of antiviral drugs. The need for UGIE is to know to whether imminent bleeding veins have developed in the stomach or esophagus in the setting of chronic liver disease which can cause a condition known as Portal hypertension. This pH can cause esophageal varices. If detected early through UGIE, they can be prevented from rupture and bleeding. Elastography directly assess the liver architecture to detect the possibility of liver fibrosis which can subsequently lead to cirrhosis and PH. Hence all tests advised by your doctor are extremely mandatory even though you do not currently experience any symptoms. Thank you.