Hepatitis B: Test Results and Dietary Considerations

Q: Hepatitis B: Test Results and Dietary Considerations

Hello, Sir： 1. You are likely a healthy carrier of Hepatitis B, with normal liver function and low viral load (e-antigen negative), but you still need to be monitored. 2. Generally, there is no need to test for Hepatitis C viral load. 3. You can ma

Hepatitis B issues

1.
Since the age of 18, the individual has been identified as a carrier of hepatitis B.
Recent tests show blood report values of GOT/GPT at 25/28, alpha-fetoprotein at 0.98, e-antigen antibody as Reactive, HBeAg S/CO value at 0.317, and HBeAg interpretation as Nonreactive.
Are these values considered normal? Additionally, the test for hepatitis C viral load shows Not detected; does this indicate that there is no hepatitis C infection?
2.
Is it appropriate for someone with hepatitis B to take health supplements such as clam tablets and vitamins? Thank you!

Hill, 20~29 year old female. Ask Date: 2010/08/04

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, Sir:
1.
You are likely a healthy carrier of Hepatitis B, with normal liver function and low viral load (e-antigen negative), but you still need to be monitored.

2.
Generally, there is no need to test for Hepatitis C viral load.

3.
You can maintain a normal diet and should have your liver function tested every three months.

Changhua Hospital cares about your health.

Chen Shidian

Reply Date: 2010/08/04

More Info

Understanding Hepatitis B and its implications on health is crucial for anyone diagnosed as a carrier. Based on your test results and questions, let's break down the information.

1. Interpreting Your Test Results:
- Your GOT (AST) and GPT (ALT) levels of 25 and 28 respectively are within the normal range (typically, normal levels are below 40 U/L for both enzymes). This suggests that your liver function is currently stable, which is a positive sign for someone with Hepatitis B.

- The alpha-fetoprotein (AFP) level of 0.98 ng/mL is also within the normal range (typically, normal is less than 8.78 ng/mL). Elevated AFP levels can indicate liver cancer or severe liver damage, so your result is reassuring.

- The e-antigen (HBeAg) status is important in understanding the viral replication and infectivity. Your HBeAg S/CO value of 0.317 indicates that you are HBeAg negative, which generally suggests a lower level of viral replication and a lower risk of transmitting the virus. The reactive e-antibody (Anti-HBe) indicates that your immune system has responded to the virus, which is a positive sign.

- The negative result for Hepatitis C (Not detected) means you are not currently infected with the Hepatitis C virus, which is good news.

2. Dietary Considerations:
- Regarding your question about dietary supplements such as clams and vitamins, it is essential to approach this with caution. While a balanced diet rich in vitamins and minerals is beneficial for overall health, certain supplements may not be advisable for individuals with Hepatitis B.
- Shellfish, including clams, can be safe to eat unless you have specific allergies or conditions that contraindicate their consumption. However, it’s essential to ensure they are cooked properly to avoid foodborne illnesses, which can further stress the liver.

- Vitamins, particularly those that support liver health (like Vitamin E and certain B vitamins), can be beneficial. However, excessive intake of fat-soluble vitamins (A, D, E, K) should be avoided as they can accumulate in the liver and potentially cause harm. Always consult with a healthcare provider before starting any new supplements, especially if you have a chronic liver condition.

3. Regular Monitoring:
- As a Hepatitis B carrier, regular monitoring of liver function tests and viral load is crucial. This helps in assessing the progression of the disease and determining if any treatment is necessary. Your current stable liver function tests are encouraging, but ongoing vigilance is essential.

4. Lifestyle Modifications:
- In addition to dietary considerations, adopting a healthy lifestyle is vital. This includes maintaining a balanced diet, engaging in regular physical activity, avoiding alcohol, and managing weight. These factors can significantly impact liver health and overall well-being.

5. Consultation with Healthcare Providers:
- It’s essential to maintain open communication with your healthcare provider regarding your Hepatitis B status. They can provide personalized advice based on your health status and any changes in your test results.

In summary, your current test results indicate stable liver function and no active Hepatitis C infection. While dietary supplements can be beneficial, it’s crucial to consult with your healthcare provider before making any changes to your diet or supplement regimen. Regular monitoring and a healthy lifestyle will support your liver health as a Hepatitis B carrier.

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