Conversation: The conversation between human and AI assistant.
[|Human|] DEAR SIR 1. SOME INVESTIGATIONS IN MY RESPECT ARE MENTIONED BELOW :- (i) VDRL-NON REACTIVE.(ii)Anti HCV - Negative.(iii)USG Abdomen- Normal scan of abdomen.(iv)Serum HBs Ag Positive.(v)Bilirubion0.7 mg(vi)SGOT 18(vii)SGPT24(viii)ALK Phospha51(ix)HIV- Non reactor(x)HBV DNA634 IU/ml 2. no medicines recommended by my Dr. What is your opinion? Kindly advise soonest. thanks yours ravindra singh0000
[|AI|]  Brief Answer:No treatment needed for the moment. You should do further examinations to make an adequate followup plan guided by a GI doctor. Detailed Answer:Hello, Thank you for using Chat Doctor. All the examinations results mentioned below are normal, except Bag and HAVANA. As your liver enzymes are normal, and your Havana is below 2000ui/ml, you seem to be just host, carrier of hepatitis B virus and the infection seems not to be active, actually. So I agree with your doctor, no treatment is needed for the moment, but to make a follow-up plan, must be done some more laboratory exams such as quantitative Bag and Head. Head determines which strain of hepatitis B virus do you have. If the Head is negative, you should evaluate ALT levels and Bag quantitative every 3 months during the first year. If the Head is positiver than you should monitor ALT and Head every 6 - 12 months. Even though, I suggest this follow-up process to be guided by your GI doctor. Is important for your partner to be tested for hepatitis B, and if he is negative, he must be vaccinated. Hope this is helpful. Let me know if you need more clarifications. Otherwise, please close and rate the answer. Kind