Hepatitis B

[johardue]

@angel

 

Sus! may libre plugging pa ko sa yo...

 

@arnold

 

Kung 2006 pa yung test, i would advise you to have the hepa B profile (HbsAg, Anti-HBs, HbeAg, Anti-Hbe, Anti-HBc IgG) and SGPT done. It's the fist step. This would cost about 2-3k depende kung saan mo papagawa

 

 

Depende sa resullts we would have to preoceed as I said with the HBV DNA. This costs about 3-4K sa NKI more sa ibang hospital.

 

Treatment on the other hand is not always indicated. But just in case, you have 2 options. The injectable, w/c costs around 14k per shot, one shot per week for 1 year. The other option is the oral w/c is a daily dose costing 200 up depending on what medication we would use. But treatment with the oral meds would last at least one or two years (open ended yan) And even with treatment complete response is often not achieved. Kadalasan you would still have a (+) HBsAG suppressed nga lang ang activity.

 

I would gladly see you however I practice in the province. La ako clinic in Metro Manila. PM mo na lang location mo

[internist]

@angel

 

Sus! may libre plugging pa ko sa yo...

 

@arnold

 

Kung 2006 pa yung test, i would advise you to have the hepa B profile (HbsAg, Anti-HBs, HbeAg, Anti-Hbe, Anti-HBc IgG) and SGPT done. It's the fist step. This would cost about 2-3k depende kung saan mo papagawa

 

 

Depende sa resullts we would have to preoceed as I said with the HBV DNA. This costs about 3-4K sa NKI more sa ibang hospital.

 

Treatment on the other hand is not always indicated. But just in case, you have 2 options. The injectable, w/c costs around 14k per shot, one shot per week for 1 year. The other option is the oral w/c is a daily dose costing 200 up depending on what medication we would use. But treatment with the oral meds would last at least one or two years (open ended yan) And even with treatment complete response is often not achieved. Kadalasan you would still have a (+) HBsAG suppressed nga lang ang activity.

 

I would gladly see you however I practice in the province. La ako clinic in Metro Manila. PM mo na lang location mo

 

 

I agree with johardue. Repeat the hepa profile and ALT (kung wala kang masyado pera, just do HBsAG and ALT) and your doctor will advise you based on the results. Either interferon or oral anti-virals like entecavir or lamivudine. Good luck!

[vek_slayer]

ano ung ibig sabihin ng healthy carrier ka ng hepa b?

[johardue]

@vek

 

According to the latest guidelines or consensus statements, there is really no such thing as a "healthy carrier".

 

But in the interest of the "general population" this term has been used to describe someone who has the virus in his body (HBsAg reactive) but does not have symptoms and is not infectious meaning can not transmit it to another person.

 

Being a so called "healthy carrier" as determined by a single set of examination does not guarantee that you would not develop problems later on. Hepatitis B infection may be "dynamic" meaning it may be "dormant" at one time only to reactivate at another.

 

And so if a person is initially diagnosed to be a "healthy carrier", he is not out of the woods yet and has to undergo monitoring of at least the liver enzymes (SGOT/SGPT) periodicaly. This is to be able to catch it early if your infection is getting active.

[vek_slayer]

thank for the info..sir johardue..

[Johncartman]

Hi, im a chronic hepa b carrier diagnosed 3 yrs ago. My case is non infectious and non replicative. Tried applying abroad thru an agency 2 years ago and was disqualified. It was horrible! Nxt year im planning to push my luck again to malaysia or singapore. The question is, have you guys know someone w/

Hbv successfully made it there? My line of work is structural steel detailing ie not in any medical field. Tnx in advace

[mr.bukol]

bawal din mag work sa food related work , baker , cook ?

yung alalay ko may hepa b? hindi kaya ako mahawa ?

how about cook namin sa house ? mahawa kaya kami?

[johardue]

@Mr. Bukol,

 

Actually, the main concern for hepatitis B transmission in the workplace is among people in the medical field - nurses, med techs, even doctors. Those who have direct patient contact and those who handle body fluids and similar materials.

 

Those in the food handling jobs actually do not pose any significant danger of transmitting the infection to others. (Unless may freak accident)

 

Hepatitis B transmissions like HIV is through exchange of body fluids - sex, blood transfusion, needle-stick, childbirth, etc.

 

Unfortunately, not everyone understand this. A lot of companies are using HBsAg positivity as a screen out applicants. The local gastro group (Philippine Society of Gastroenterology) has actually issued a position paper regarding the issue and is trying to disseminate the information that people get educated and enlightened about Hepatitis B.

[arnoldtan]

Hi, im a chronic hepa b carrier diagnosed 3 yrs ago. My case is non infectious and non replicative. Tried applying abroad thru an agency 2 years ago and was disqualified. It was horrible! Nxt year im planning to push my luck again to malaysia or singapore. The question is, have you guys know someone w/

Hbv successfully made it there? My line of work is structural steel detailing ie not in any medical field. Tnx in advace

 

 

yup gusto ko rin masagot itong tanong na ito........kasi parang unfair sa mga katulad namin na merong hepa b tapos hindi puedeng mag work sa abroad....meron ba kayo nabalitaan na nakaalis kahit meron ganito...

[peterparker]

yup gusto ko rin masagot itong tanong na ito........kasi parang unfair sa mga katulad namin na merong hepa b tapos hindi puedeng mag work sa abroad....meron ba kayo nabalitaan na nakaalis kahit meron ganito...

 

 

actually, i know a few persons who got to work abroad despite them being Hep. B positive... one of them is an aircraft mechanic who had worked in the middle east, guam, saipan and singapore...

 

i think it depends on the health policies of the company looking for employees, and more importantly the health policies of the country where you want to find employment...

 

unfortunately i was not able to get the whole story from the people i mentioned... maybe our resident GI specialist can shed some light on this subject...

 

or you can inquire with the DOLE and/or DOH regarding the policies and procedures on this matter...

 

 

 

:mtc:

[peterparker]

got some more info... Hep. B positive applicants for work abroad are generally accepted by certain employers as long as they are asymptomatic and non-infectious...

 

as far as which countries are strict with Hep. B positive job-seekers, i`m told that only the middle eastern countries as a rule do not accept them...

 

Hep. B positive people in general cannot work in health and food-related sectors...

 

i would appreciate it very much if somebody can corroborate these statements...

 

 

 

:mtc:

[angel_by_day]

from a previoius post --

 

 

@ Arnoldtan&lt

If di naman conclusive yung tests mo, we can just opt for observation. No need to treat for the meantime.

 

If your HBsAg was done as part of a pre-employment screening, it may present as a problem. Usually, if your work is non-medical or without any patient contact we would usually issue clearance. However, depende din yan sa company na ina-applyan mo if they would honor that clearance.<BR><BR>Another thing is that, there is no treatment kng HBsAg positive lang. Actually, even if you turn out to be really qualified for treatment, only a percentage of those who undrwent treatment can eventually develop a negative HBsAg test even after years of medications.

 

You may try to backread on my previous posts bka meron pa additional info ka makuha dun

 

I suggest you see a gastroenterologist personally para may makapag-assess sa yo ng husto and advise you accordingly

 

 

basically, we clear patients for employment here and abroad even if HBsAg positive as long as they are not in the infectious state (HBeAg positive), moreso if the job is not considered as high risk, as mentioned.

 

If he turns out to be HBeAg positive, still we would have to examine the criteria for treatment (including HBVDNA) and his clinical state if he can work or not.

I have a co-fellow who is HbsAg positive, Hbe Ag positive, and yet was cleared for work because his viral counts are low. So still a case-to-case basis.

[arnoldtan]

actually, i know a few persons who got to work abroad despite them being Hep. B positive... one of them is an aircraft mechanic who had worked in the middle east, guam, saipan and singapore...

 

i think it depends on the health policies of the company looking for employees, and more importantly the health policies of the country where you want to find employment...

 

unfortunately i was not able to get the whole story from the people i mentioned... maybe our resident GI specialist can shed some light on this subject...

 

or you can inquire with the DOLE and/or DOH regarding the policies and procedures on this matter...

 

 

 

:mtc:

 

thanks sa info, actually matagal ko nang gusto mag abroad kaso hindi ko matuloy dahil dto sa sakit ko. ang nature nang work ko talga ay more on IT.

[aaa123]

these are the results of my recent Hepa test:

 

HBsAg = 0.16 (negative)

 

Anti-HBs = 0.0 (Anti-body negative)

 

Anti-HAV IgG = 1.6 (anti-body negative)

 

i had these tests because of a borderline birilubin level and fatty liver.

 

what does these test results mean? do i need to do anything? i need to go back to my gastroenterologist but just dont have the time, appreciate inputs on this. thanks.

[angel_by_day]

you dont have hepatitis B.

 

if you dont have symptoms like jaundice, tea-colored urine, yellowing of the sclera of the eyes, then just observe the bilirubin levels for now.

It would be helpful also if you would have an ultrasound of the liver done. An increase in bilirubin levels may not be attributed to hepatitis alone. There are many causes.

 

Fatty liver may be 2 types: AFLD or alcoholic fatty liver disease (and as the name implies, caused by heavy intake of alcoholic drinks) or NAFLD (non-alcoholic fatty liver disease) which is found among non-drinkers. Generally, it is caused by fatty deposits in the liver, and can be diagnosed either by a combination of ultrasound (it will say if your liver looks fatty or not) and increase in liver enzymes (SGPT or SGOT), or by doing a liver biopsy.

Liver biopsy, being the invasive one, will tell you more info, including the degree of steatohepatitis (liver damage caused by the deposits).

Depending on the stage, steatohepatitis may be reversible or not.

 

sino gastro mo?