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Asked for Female | 28 Years

I am 28years old,female and I am hepB carrier. My dad has undergone liver transplant surgery due to liver cirrhosis and tumour. I checked my HBVDNA and it's quite high in level (in crores) and I have consulted a doctor and he advised me to take antiviral drugs(Tafero800mg-OD) as a preventive measures since my dad suffered from liver cancer. I have taken this medicine for more than 4month and it doesn't bring changes in Dna level counts. So I discontinued my treatment. My all blood reports as well as USG and liver fibroscan is normal but my HbvDna level is still up. My dad has been taking tab.entaliv 0.5mg and it helps my dad's level to come down drastically. Please do prescribed me the best and most effective medicine,Thank you.

Answered by Dr. N S S Gauri

follow these herbal combination for complete cure :- sootshekhar ras 125 mg twice a day, pittari avleh 10 gms twice a day, after breakfast and dinner with water, send your reports initially

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Answered by Dr. Sayalee Karve

• Hepatitis B carriers are persons who carry the hepatitis B virus in their blood but do not experience symptoms. Between 6% and 10% of persons infected with the virus will become carriers and will be able to infect others without knowing it.

• A considerable proportion of chronic hepatitis B (HBV) patients are in the inactive carrier state, which is characterised by normal transaminase levels, limited viral replication, and little liver necroinflammatory activity. After at least one year of frequent monitoring, a diagnosis is made, and lifelong follow-up is required to ensure that this status is maintained.

• In case there is no improvement in HBVDNA levels, consult your expert but do not stop the medication on your own.

• Drugs prescribed such as Tafero (tenofovir) acts by ceasing the production of new viruses, blocks or slows viral proliferation in human cells, and eliminates the infection and also boost the level of CD4 cells (white blood cells that fight infection) in your blood. Entaliv (entecavir) acts by inhibiting the viral replications processes like reverse transcription, DNA replication and transcription.

• Seek the advice of a hepatologist so that your treatment may be adjusted according to your specific needs and preferences.

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Answered by Dr. Ganapathi Kini

Please continue taking Tab Tenofovir 300 mg once daily for at least one year, if there is no decrement in the viral load then we can change to some other medicine. Presently don't stop Tab Tenofovir 300 mg .

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Dr. Ganapathi  Kini

Gastroenterologist

Questions & Answers on "Gastroenterologyy" (853)

I have an episode of watery diarrhea for 5 days Stool analysis showed only mucus, with no parasites and 0-1 WBC's. I have had my last colonoscopy in September 2023, and it was clear from any lesion, inflammatory bowel disease symptoms or any other clinically significant finding. In 2020 I also had another colonoscopy with some specimens to check for microscopic colitis but the specimens were negative. I need to know what is wrong with me and what is the reason for this diarrhea. Blood test showed no Anemia (apart from my Thalassemia minor) , liver enzymes are normal, lactate dehydrogenase normal, CRP and ESR are normal. I need help . .

Male | 44

A positive result from your last two colonoscopies, showing no inflammation or IBD, is reassuring. Mucus in your stool might be due to irritation. Diarrhea can result from various causes, including infection, certain foods, or stress. Since your test results aren't alarming, try drinking lots of fluids, sticking to a soft diet, and letting your gut rest. If the diarrhea persists, consult your doctor for medical advice.

Answered on 1st July '24

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What is normal level of lipase

Male | 17

An individual can find the chubby substance-dissolving macromolecule in this system. It commonly breaks down between 0 to 160 units per liter when it is in a healthy person’s bloodstream. Having a high level of lipase can indicate something wrong with your pancreas. Some signs that someone has too much lipase may include pain in their stomach or feeling sick; they might also have a fever, etc. 

Answered on 28th May '24

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Answered on 23rd May '24

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Potty karte samay bahut blood nikal rha hai

Male | 39

Passing blood while having a bowel movement can indicate a medical issue. If you're experiencing this, it's important to consult a doctor for examination and treatment. It could be caused by conditions like fissures, hemorrhoids, or other gastrointestinal problems.

Answered on 23rd May '24

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Where can i have a gestrichen balon?

Female | 61

A gastric balloon can be implanted by a gastroenterologist. It is a minimally invasive procedure in which a small balloon is placed in your stomach that helps you feel fuller and thus reduces food intake. 

Answered on 23rd May '24

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I got a swallowing bump at the top of my butox what can I do to make it go down

Male | 38

I would suggest that you see a gastroenterologist who will give you the right medical help and care. A lump at the top of your buttocks that's more difficult to swallow could suggest any condition, including a perianal abscess or a pilonidal cyst. 

Answered on 23rd May '24

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The patient was complaining of upper stomach discomfort, bloating and excessive gas. they decided to self-medicate with paracetamol and Metrogyl pills for one day. the patient went to the hospital 36 hours later. the doctors did tests, a total blood count, stool and urine test which all turned out negative. The physician said it might be indigestion. prescribed omeprazole, relcer gel and levofloxacin. its been 48 hours and the patient still has no relief from their symptoms. please advise

Female | 31

If the patient has not experienced relief from their symptoms after 48 hours of following the prescribed medications, it would be advisable for them to contact their physician for further evaluation. . In the meantime the patient can try avoiding trigger foods, eat smaller meals, stay hydrated, and manage stress. 

Answered on 23rd May '24

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My gran is a 64 year old female. She started vomiting over 6 hours ago. She can’t eat or hold anything down. She’s also complaining of a headache and pain on her right side. What can we do to help? She is on insulin and hypertension medication

Female | 64

Vomiting, headaches, and pain on her right side can mean she has pancreatitis, which is very serious. Take her to the hospital now. They’ll be able to find out what’s wrong and make her feel better. Also, bring along her insulin and any medicine she takes for high blood pressure. 

Answered on 4th June '24

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