Suggest treatment for positive hbsag and hbeag in blood
Patient: hello dr. this is satish iam 24 years old and i am hbs ag +ve and hbe ag +ve. i dont knot when it attacked, two years back i was tested by blood its hbs ag +ve at that time i dont know about this disease . few months back i met an accident i tested my blood and doctor told me that its hbs ag+ve. and he said there is no cure. sir i want to know what will happens with this disease, and when will i effected ? and is there any cure in medical science or in ayurvedic treatment any thing else so please guide me Doctor: Hello,Welcome to Health Care Magic.Thanks for writing.I am Dr.Saddiq ul Abidin. I have read you question completely, i understand your concern and will try to help you in best way possible.First of all, I hope you world have a speedy recovery the accident you had recently. The brief details you have shared refer to as, you have been diagnosed recently, incidentally as having hepatitis B infection while having a blood screening for your other issues.Since it was incidentally found, it means it has not given you any problem in the past, that is why it was left undiagnosed until now, and it is a good news.Hepatitis B virus is among the few causes of chronic liver disease, and currently some antiviral drugs are available in the market which are given from time to time depending upon individual cases and disease behaviors.A good thing about hepatitis B is, a low progression rate to Cirrhosis or liver damage, which occurs in less than 10 percent untreated  people. However need for a regular check up for any signs of early cirrhosis or any space occupying lesion in liver, is advisable.In your case HbeAg positive is suggesting an active disease, and if along with that if you run a Liver function test, which turns out to be raised than normal, along with a positive quantitative  PCR of Hepatitis B virus, above 200-300 ( this criteria varies in different guidelines), than this may necessitate treatment commencement with tenofovir or other antivirals. But that is a sensitive domain and needs a detailed evaluation and workup by a gastro-entrologist.As far as your concerns regarding prognosis and severity of disease are concerned, Nothing is as darker as you have perceived and their are multiple options available, but you just need to develop a close liaison to a good gastro-entrolgiost.Lastly, a family screening and vaccinations is my most important suggestion to you, which should be commenced as soon as possible.I hope this answered your question.If you have more queries I am happy to answer. Otherwise rate and close the discussionRegards,Dr.Saddiq ul AbidinM.B.B.S(Licensed Family Physician)Resident Medicine.