Your Hepatitis B Test Results: Infection or Carrier Status? - Gastroenterology and Hepatology

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Hepatitis B Test Report


Hello doctor, here is my hepatitis B test report.
Could you please tell me if I am infected with hepatitis B or if I am a carrier? Should I seek treatment urgently? Also, should I use condoms during sexual activity? Thank you.

Anti-HBs: Negative
Anti-HBc (col): 2.39
HBs Ag (col): 0.46

A Cheng, 30~39 year old female. Ask Date: 2023/08/22

Dr. Yang Zhichao reply Gastroenterology and Hepatology


Hello Mr.
A-Cheng, currently, the negative Anti-HBsAb indicates that you do not have antibodies.
Please provide the reference ranges for the other values so that I can assist you in the evaluation.
Thank you for your inquiry.

Reply Date: 2023/08/22

More Info


Based on your Hepatitis B test results, let's break down the components to understand your current status regarding Hepatitis B infection or carrier status.

1. Anti-HBs (Hepatitis B Surface Antibody): Your result is negative. This means that you do not have antibodies against the Hepatitis B virus, which typically indicates that you have not been vaccinated against Hepatitis B or have not cleared an infection.

2. Anti-HBc (Hepatitis B Core Antibody): Your result is 2.39, which is positive. This indicates that you have been exposed to the Hepatitis B virus at some point in your life. The presence of Anti-HBc suggests that you may have had a past infection with the virus. However, it does not provide information about whether you are currently infected or if you have cleared the virus.

3. HBsAg (Hepatitis B Surface Antigen): Your result is 0.46, which is negative. This is a crucial marker because a negative HBsAg indicates that you are not currently infected with Hepatitis B. If this marker were positive, it would suggest that you are either currently infected or a carrier of the virus.


Interpretation of Your Results:
- Current Infection: You are not currently infected with Hepatitis B, as indicated by the negative HBsAg result.

- Past Infection: The positive Anti-HBc suggests that you have had a past infection with Hepatitis B. However, since your HBsAg is negative, it is likely that you have cleared the virus from your system and are no longer infectious.

- Carrier Status: You are not a carrier of the virus, as a carrier would typically show positive HBsAg.


Recommendations:
- Follow-Up Testing: It may be beneficial to discuss with your healthcare provider about further testing, such as checking for Anti-HBs to see if you have developed immunity or if you need vaccination.

- Vaccination: If you have not been vaccinated, consider discussing the Hepatitis B vaccination with your healthcare provider, especially if you are at risk of exposure.

- Safe Practices: While you are not currently infected, it is always a good practice to use protection during sexual activity to prevent any potential transmission of infections, including Hepatitis B, especially if you are unsure of your partner's status.


Conclusion:
In summary, your test results indicate that you are not currently infected with Hepatitis B and are likely not a carrier. However, you have been exposed to the virus in the past. It is advisable to maintain regular check-ups and discuss vaccination options with your healthcare provider to ensure your continued health and protection against Hepatitis B.

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