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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Hepatitis B. Elevating Levels Of ALT, Alkaline, Bilirubin. Treatment? Cancer?

Hello, I was diagonised with hepatitise B for the last seven months back, my first doctor has put me on antivairal drugs lemuvudine but later i was advise by the second doctor to stop taking the medicine becouse the vairal load was low and it doesn t qualified me for treatment and later liver biospy was done but i don t have the varius in my liver but since then my liver enzyems keep on elevating especially the alt , alkaline, billrubin, total protein , ggt & at times the mentions ones also reduce though HIV B varial load was done later and it was below 25mm in DNA . What could be the problem am so scared of liver concer and chriosis. Secondly can someone grow up with hepatitise B from child hood up to the age of 60s? if so what is the life span of the person having a chronic HIV B?
posted on Sat, 23 Feb 2013
Twitter Thu, 28 Feb 2013 Answered on
Twitter Thu, 28 Feb 2013 Last reviewed on
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Internal Medicine Specialist,  's  Response
if you have elevated liver enzymes and hepatitis B you should probably get treatment, but it also depends on the results of your liver biopsy (if there is active inflammation or not). Also getting treated will prevent your chances of getting liver cancer. If you are co-infected with HIV, then you should definitely control the hepatitis B with medications since the risk of liver cancer is higher if you have both HIV and hepatitis B. Keep in mind that some HIV medications also work against Hepatitis B (such as tenofovir, also known as truvada) reasons why your doctor may have stopped lamivudine.
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Diagnosed With Hepatitis B. Elevating Levels Of ALT, Alkaline, Bilirubin. Treatment? Cancer?

if you have elevated liver enzymes and hepatitis B you should probably get treatment, but it also depends on the results of your liver biopsy (if there is active inflammation or not). Also getting treated will prevent your chances of getting liver cancer. If you are co-infected with HIV, then you should definitely control the hepatitis B with medications since the risk of liver cancer is higher if you have both HIV and hepatitis B. Keep in mind that some HIV medications also work against Hepatitis B (such as tenofovir, also known as truvada) reasons why your doctor may have stopped lamivudine.