Conversation: The conversation between human and AI assistant.
[|Human|] Hello Doctor, My brother got HBSAG +ve, hbeag -ve, LFT is done before yestarday. in that report SGOP and SGOT are quite high. he got recently married , so is there any madecine for this ? what precautions he and his wife sholud take for the future baby?? Now plz tell us , Is there any risk for my brother as infected by HBSAG +ve, What is the best medicine for this. Best regards Girish Bangalore
[|AI|]  Hi. Please let me know the complete LFT profile especially the SGPT and GOT levels. Since he is Head negative in most cases he would an inactive carrier .however with high SGPT and GOT we still need to be certain. For that we need to go for quantitative HBV DNA levels .this tells us about the viral load in the blood. If the viral load is high there are medications which can control the virus.  You also need to check him up for signs of chronic liver disease. Test would include and ultrasound, an Upper GI endoscopy to look for varices etc. A newer test Fibrosis (which is like an ultrasound) can detect the liver stiffness without a biopsy.  As far as family is concerned they need to be screened for Bag (everyone including his wife, yourself, your parents, your siblings etc.). If you'll are negative for Bag then you need to take Hepatitis B vaccine.