What Do These Lab Reports For Hepatitis Indicate?

Brief Answer:
follow the advises.. maintain a healthy lifestyle..

Detailed Answer:
Hello XXXX, Welcome to HCM,

I've gone through your query and understand your concern for your brother,
Yes I've gone through the reports, HbsAg is found reactive, while there's Non-reactive HCV..

Now, first of all please don't worry, HbsAg is mainly indicative of the surface antigen of the hepatitis B Virus, positive result means, the particular individual is infected with Hepatitis B Virus, which can be an acute or chronic infection..

For confirmation, Hepatitis B core IgM antibody(anti-HBc IgM), or the presence of HBV DNA detected by molecular assays, should be done..

There's a need for thorough clinical examination by a Gastroenterologist for complete assessment of the clinical features along with these and a few more relevant investigations(a screening HbeAg, viral load assay of HBV and/ Ultrasonography of the whole abdomen)..

Please note that, all these above steps are necessary to determine the exact stage of the disease process along with further prognostication and appropriate management in this regard..

It's mainly transmissible by blood borne contact or bodily fluid exchange (exposure to infectious blood or body fluids containing blood, unprotected sexual intercourse, Intra venous drug abuse/ blood contamination etc.)..

So please let me know a few details so that I can guide you more specifically.. like, when was it detected/ at which stage currently-what's the latest viral load/ is there any treatment started yet/ has your brother received immuno prophylaxis in the past ?

Treatment depends upon staging, complete clinical features after physical examination, results of all those investigations mentioned above and several other features..

If still no treatment started then, I'd strongly suggest you get scheduled an appointment with a Gastroenterologist at the earliest for all those investigations mentioned earlier along with proper, thorough clinical evaluation for further management..

Please note that, the treatment of Hepatitis B has been improved a lot over decades, and with timely detection and proper follow-ups with the gastroenterologist along with proper anti-viral therapy(if required), one can easily live a healthy life as the virus remains self-limiting and/ dormant in the body..

No, it's not that critical, as his liver function test is within normal limits only, so is the CBC and coagulation profile, so timely examination, early anti-viral drug therapy after confirmation of the infection and clinical staging and routine follow-up with the Gastroenterologist should be sufficient for management..

No specific diet is required, just avoid alcohol/excessive deep fried/junk foods..

Once again, precaution will be dependent on the clinical stages of the infection, as in general, avoiding direct blood/blood product exposure, needle-stick exposure with universal precaution, avoidance of unprotected sexual exposure is necessary..

Please let me know if there's any further queries, i'll be glad to clarify..

Take Care
Kind Regards

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Brief Answer:
Max-Saket's fine..

Detailed Answer:
Hello XXXX, Welcome back,
Thanks for following up with the details..

I'm extremely glad to know this had happened prior to blood donation, as if it'd been remain undetected, not only your brother'll put him self in danger and future complications, but also lives of other human beings would have been in jeopardy too..


Good to know the ultrasound is scheduled for tomorrow..

Max-Saket's a fine place XXXXX, they have a very good Hepatology and Gastroenterology Department there, just get in touch with any of the Gastroenterologist in the morning during OPD hours, they'll take care of the rest of it and your brother too..

No need to shift any where else, since investigations already started there, get the complete assessment from there itself..

All those are universal reasons applicable for every human being in the world, so a complete detailed history of your brother is simply enough to clarify it further..

You should note that unsupervised blood donation (if at all done in the past) is itself another risk factor, so they should always be done in a Registered institution under proper medical supervision (it's a noble act, and lot of freelancers do it every now and then, thus every individual should be extremely cautious before approaching)..

It's not necessarily to be symptomatic, like I've already mentioned in my previous reply, he can be asymptomatic carrier too, which needs further investigations and serological assays to determine..

Wish you all the best..

Take Care
Kind Regards

For future reference you can always get in touch with me, below is my direct follow-up link through which you can contact me anytime anywhere, I'll be happy to help -

http://www.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=71041

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