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Hepatitis B


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#21 Dirty_Harry

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Posted 10 February 2007 - 11:04 AM

PHILHEALTH is also covering the charges of newborn babies on Hepa-B vaccination program. It cost about PhP 750.00 for 1st dose plus included in the package is the Newborn Screening!

#22 manayonboy

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Posted 13 March 2007 - 07:17 AM

Effective ba yong BAraclude Entecavir... Puede bang i taka kasama ang mga herbal supplement?

#23 eliasjose

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Posted 13 March 2007 - 08:31 PM

help naman,,

eto results ng lab works..

HBsAg-reactive(276.46 s/n) undiluted
HBc Abs (total) 0.064 positive
HBe Ag 0.41 negative
HBe Abs 0.064 reactive
hepatitis B antibody 0.0 mIU/ml nonreactive

paki explain nga po kung ano ibig sabihin ng blood tessts na ito at ano ibig sabihin ng chronic hepatitis B.
is medication recommended?
thanks

#24 angel_by_day

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Posted 02 April 2007 - 02:33 PM

help naman,,

eto results ng lab works..

HBsAg-reactive(276.46 s/n) undiluted
HBc Abs (total) 0.064 positive
HBe Ag 0.41 negative
HBe Abs 0.064 reactive
hepatitis B antibody 0.0 mIU/ml nonreactive

paki explain nga po kung ano ibig sabihin ng blood tessts na ito at ano ibig sabihin ng chronic hepatitis B.
is medication recommended?
thanks


ok. your tests show that you do have chronic hepatitis B, meaning that the virus has been there
for more than 6 months already. But yours is in an "inactive" state, so to speak. In layman's term, parang
quiet lang sha..

There is no need for treatment at this point. We consider certain criteria before we start a patient on treatment.
And yes, there are a lot of treatment options now available for chronic hep B.

In your case, i would recommend repeat SGPT and HbeAg / anti HBe after 3 or 6 months, just to check...

#25 eliasjose

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Posted 17 April 2007 - 05:27 AM

ok. your tests show that you do have chronic hepatitis B, meaning that the virus has been there
for more than 6 months already. But yours is in an "inactive" state, so to speak. In layman's term, parang
quiet lang sha..

There is no need for treatment at this point. We consider certain criteria before we start a patient on treatment.
And yes, there are a lot of treatment options now available for chronic hep B.

In your case, i would recommend repeat SGPT and HbeAg / anti HBe after 3 or 6 months, just to check...

angel by day--

anong criteria ang titignan ko para -- mag tratment ako.?
gaya ng sabi mo,sabi ng doctor ko>>>no treatment needed for me now...d
though i have to check my liver function--and abdomen ultrasound every six months?
can u please furher explain--which blood tests parameters do i have to monitor for me to have treatment?
salamat

#26 angel_by_day

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Posted 23 April 2007 - 03:07 PM

angel by day--

anong criteria ang titignan ko para -- mag tratment ako.?
gaya ng sabi mo,sabi ng doctor ko>>>no treatment needed for me now...d
though i have to check my liver function--and abdomen ultrasound every six months?
can u please furher explain--which blood tests parameters do i have to monitor for me to have treatment?
salamat



US of the liver once a year will do. You have to repeat HBeAg, anti HBe and SGPT levels after 6 months. or 3 months, earliest.

#27 johardue

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Posted 16 May 2007 - 11:23 PM

Effective ba yong BAraclude Entecavir... Puede bang i taka kasama ang mga herbal supplement?


Hi. Regarding Baraclude, effective namn in contolling yung replication or pagdami ng virus although probably not 100%. As mentioned in this thread, dapat u should've fufilled a criteria before undergoing treatment otherwise walang bisa yang gamot na yan. Isa pa you have to take it for months or years on end

Ok lang namn sya i-take with herbal supplements pero honestly kung yng herbal supplimnets na tukoy mo ay yong para sa liver, walang silang silbi against the Hepa B virus.

#28 angel_by_day

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Posted 24 May 2007 - 11:57 AM

i dont want to get into trouble with the producers of whatever herbal supplement....but id prefer that you do not take baraclude with any of these supplements...ask your gastro about it.

#29 johardue

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Posted 24 May 2007 - 11:13 PM

Pls don't misinterpret. I've nothing against herbal supplements for the liver.I mean I don't think they're of no benifit. Parang vitamins din sila or like most supplements. Their labels would say "no approved therapeutic claim". They are not cures for specific conditions. What they do is try to improve the overall condition of the body or a particular organ. So if anyone is taking them to cure Hepa B or just because they tested positive or reactive for HBsAg I suggest discuss it first with your doctor or better yet a Gastro. Baka umaasa ka sa wala o nagsasayang ng pera. Just a friendly advice

#30 otitismedia

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Posted 29 May 2007 - 05:19 PM

just want to clarify things...treatment of hepatitis B doesn't mean that after the treatment you are cured. it only slows down the disease. am i right doctors?

#31 johardue

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Posted 29 May 2007 - 09:38 PM

Although there are those who get complete eradication of the virus, for most part treatment can only suppress the activity of the virus to the point that they are not causing harm to the body. Withdrawing of treatment after treatment goals are achieved may lead to recurrence or re-increase of the virus. Treatment make likewise give rise to "mutant" strains of the virus which may be more resistant to the original medication given.

In short, masalimuot po mag-treat ng hepatitis B. But studies are currently being undertaken to improve the chance of cure or at least, control of the virus to prevent the long term complications - cirrrhosis and liver cancer

#32 otitismedia

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Posted 30 May 2007 - 07:59 AM

Although there are those who get complete eradication of the virus, for most part treatment can only suppress the activity of the virus to the point that they are not causing harm to the body. Withdrawing of treatment after treatment goals are achieved may lead to recurrence or re-increase of the virus. Treatment make likewise give rise to "mutant" strains of the virus which may be more resistant to the original medication given.

In short, masalimuot po mag-treat ng hepatitis B. But studies are currently being undertaken to improve the chance of cure or at least, control of the virus to prevent the long term complications - cirrrhosis and liver cancer


yes, kaya pa-vaccine na lang pag wala pa hep b.....preventive medicine..... :thumbsupsmiley:

#33 johardue

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Posted 30 May 2007 - 01:11 PM

yes, kaya pa-vaccine na lang pag wala pa hep b.....preventive medicine..... :thumbsupsmiley:


AMEN TO THAT SIR!

#34 angel_by_day

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Posted 31 May 2007 - 02:47 PM

and Glaxo (if im not mistaken), thru the Hep B Summit, has done a good job din in keeping both med profs and laymen well-informed....

#35 johardue

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Posted 04 June 2007 - 09:14 AM

I've encountered this scenario over and over for the past how many years:

Here's a guy who went to apply for work in an agency. He has never been sick before and has living an active and healthy life. He qualifies and was told that he might be sent abroad shortly. He was asked to undergo the usual "physical" requred by the company and passed everything except the screening for hepatitis B - HBsAg for which he was tested "positive" or "reactive". He is then told that he can not be sent abroad because of this.

He was then advised to take some pills for a month or so then come back for repeat testing.

Guys, this is NOT the way to treat Hepatitis B!

Here are some facts re treatment:

* You do not treat hepa B based on HBsAg results alone. There is a criteria needed to be fulfilled before starting treatment. Several tests have to be done

* Treatment with supplements or special diets DO NOT WORK. As I mentioned in a previous post, I've nothing against supplements. They may be of help in improving the body's /organ's overall health but they do not treat hepatitis B

* You do not treat for one or two weeks only. Treatment for hepatitis B (considering you have fulfilled the criteria for treatment) is anywhere from 6 months to several years.

* Most of the time, treatment for hepatitis B result not in complete elimination of the virus but suppression. This means most of the time you still have the virus in your body but their activity is kept to a minimum that they do not cause harm or lead to complications like cirrhosis or liver cancer.

* Even after months or years of treatment, HBsAg may remain reactive. HBsAg indicates the presence of the virus in the body but does not tell us of the activity of the virus - if they are causing harm.

Hope this sheds some light on the treatment of Hepa B. This is not to bring down the hopes of those who reactive to HBsAg but to enlighten them on the facts of the disesease so that they wont waste money on something that has no clear benefit.

Edited by johardue, 04 June 2007 - 09:16 AM.


#36 blackfin

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Posted 05 June 2007 - 05:11 PM

hello to the doctors in this thread. i want to ask something if it will be ok to have directly vaccinated with anti hepa B or undergo first a medical screening checkup. Do i have to take anti- hepa A vaccine also prior to anti hepa B vaccine? kindly advice what to do first and later. thanks in advance.

#37 pangcarshow

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Posted 05 June 2007 - 06:29 PM

may tanong lang ako, kc napansin ko ung urine ko madalas yellow, khit na umiinom ako ng madaming water everyday. posible kaya hepa eto?

#38 angel_by_day

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Posted 06 June 2007 - 12:09 PM

hello to the doctors in this thread. i want to ask something if it will be ok to have directly vaccinated with anti hepa B or undergo first a medical screening checkup. Do i have to take anti- hepa A vaccine also prior to anti hepa B vaccine? kindly advice what to do first and later. thanks in advance.


I suggest that you check the level of hep b antibodies first (your doctor can request for anti-Hbs). Kase baka meron ka naman adequate level of antibodies, then no need for Hep B vaccine. Either hep A or hep B vaccine can come first, in no specific order..It depends on your line of work, kung saan ka mas-prone..

#39 angel_by_day

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Posted 06 June 2007 - 12:16 PM

may tanong lang ako, kc napansin ko ung urine ko madalas yellow, khit na umiinom ako ng madaming water everyday. posible kaya hepa eto?


i dont think so. The normal color is either light or bright yellow, depends on your hydration status. Usually in hepatitis, your skin and eyes and mucosa underneath the tongue becomes yellow. That's what we call jaundice. But depending on the degree of liver cell destruction, especially in cases where there is obstruction within the parenchyma itself, your urine can be tea-colored, so to speak. That's brownish na, in layman's term. Why not consult a doctor, specifically a gastroenterologist, para ma-correlate your other physical exam findings.

:blush:

#40 angel_by_day

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Posted 07 June 2007 - 10:51 AM

ill let johardue, our in-house gastroenterologist, to add to my answers na lang :blush:




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