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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed Chronic Infection Of Hep-B With Low Viral Load, Suspicious Coarse In USG. On Tenvir Daily. Does Coarse Mean Cirrhosis ?

My name is AAAAA , residing in Mumbai.In the year 2010, it was diagnosed chronic infection of Hep-B with low viral load=457IU/ML and in USG , it was found suspicious coarse also.so on that facts my Dr.started treatment and prescribed antiviral called 1 dose of TENVIR-300 daily basis. After 2 consecutive years my all reports covering VL, ALT ,AST,cretenine,alpha feto etc..normal but suspect of coarse is still been identified.I am in yearly basis routine test and current reports are normal. She is recommending tenvir-300 -antiviral continue only on the suspect of coarse. Is coarse mean cirrhosis? is cirrhosis reversible or treatable? Regards AAAAA 0000
posted on Sat, 9 Mar 2013
Twitter Tue, 26 Mar 2013 Answered on
Twitter Tue, 26 Mar 2013 Last reviewed on
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General Surgeon,  's  Response
Hi and welcome to HCM.
It can mean liver damage at any stage. Cirrhoiss is one of the worst consequence of hepatitis but it goues through phases and develops during many years. First stage is fatty live then fibrosis and then cirrhosis. If your liver enzymes are fine then this probably isnt cirrhosis,you just have minor liver damage which is inevitable in hepatiits. Enzymes would be more than 10x elevated in cirrhosis and you would have some serious symptoms. Fatty liver and fibrosis are almost completely reversible, cirrhossis is ireversible,but even small healthy part of liver can compensate its function so there is a long way from hepatitis to failure.
YOu need to do frequent enzymes check ups and ultrasound to follow all these and everything will be fine.
WIsh you good health
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General Surgeon,  Dr. Hari Charan Perigela's  Response
Hi
Normally the surface of the liver is smooth.IT will turn course due to many conditions,not only in Cirrhosis.
In cirrhosis,there will be fibrosis in the liver and it will shrink in size.
Please consult your Doctor regularly and follow her treatment.
Nothing to worry
Wish you good health
Regards
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Diagnosed Chronic Infection Of Hep-B With Low Viral Load, Suspicious Coarse In USG. On Tenvir Daily. Does Coarse Mean Cirrhosis ?

Hi and welcome to HCM. It can mean liver damage at any stage. Cirrhoiss is one of the worst consequence of hepatitis but it goues through phases and develops during many years. First stage is fatty live then fibrosis and then cirrhosis. If your liver enzymes are fine then this probably isnt cirrhosis,you just have minor liver damage which is inevitable in hepatiits. Enzymes would be more than 10x elevated in cirrhosis and you would have some serious symptoms. Fatty liver and fibrosis are almost completely reversible, cirrhossis is ireversible,but even small healthy part of liver can compensate its function so there is a long way from hepatitis to failure. YOu need to do frequent enzymes check ups and ultrasound to follow all these and everything will be fine. WIsh you good health