Hep B Blog

When Is That Pain Hep B-related and When Is It Something Else?

Image courtesy of Ohmega1982 at FreeDigitalPhotos.net
Image courtesy of Ohmega1982 at FreeDigitalPhotos.net

When people with chronic hepatitis B experience abdominal pain, we often wonder if it’s related to our liver and if our hepatitis B is getting worse.

According to experts, hepatitis B rarely causes abdominal pain. In celebration of Pain Awareness Month, here are some insights to help you understand what might be behind your abdominal pain when you live with chronic hepatitis B.

First, it’s not called the silent infection for nothing. When first infected, most children and nearly 70 percent of adults never experience any direct symptoms from hepatitis B. When people do have symptoms, such as aches, nausea and fever, they usually last for only a few days. Only a very small percentage have symptoms that persist long-term.

But chronic hepatitis B is different. Most of us have had this infection since childhood and over time it rarely causes us any symptoms. Usually, disease causes pain, it is nature’s way of telling us that a health problem is getting worse. However, with diseases such as chronic hepatitis B, diabetes or high blood pressure, we often don’t feel any symptoms until the disease reaches an advanced state.

Why doesn’t an infected liver hurt? The working part of the liver that filters toxins from our blood has nerves, but they lack feeling or sensory function. However, the membrane that encases the liver is sensitive. When the liver becomes injured or inflamed, it enlarges and pushes against the membrane, causing a dull pain. When a doctor probes or pushes an enlarged liver that’s pushing against this membrane, it feels tender.

This palpable “pushing” against the membrane is why fatty liver disease, for example, causes abdominal pain, while early-stage hepatitis B (with its minimal liver inflammation) does not. The “fatty” liver is enlarged from the fat that’s accumulated and its accompanying inflammation, it has literally outgrown its membrane.

Pain or discomfort from an enlarged liver usually occurs in the upper right quadrant of the stomach. It may also be felt in the right upper back and shoulder blade area.

When liver disease does cause pain: Liver cancer tumors can also push against the membrane, causing a painful sensation. If a tumor is large or if it has stopped the liver from functioning fully, we may also experience weight loss, lack of appetite, weakness and fatigue, and develop jaundice (yellowing eyes and skin). However, if a doctor is monitoring our health regularly with blood tests and ultrasound scans,  you should know about this liver damage before it causes physical pain.

A reactivation of hepatitis B in someone who has had years of “inactive” hepatitis B, perhaps caused by toxins, chemotherapy or other diseases, may also result in some abdominal discomfort, fever, nausea and even jaundice.

Is that pain in my head, my liver or my gallbladder? The gallbladder may be the culprit behind abdominal pain because it is tucked in the lower area of the liver. The gallbladder is sensitive to inflammation, pressure, liver expansion and chemicals and can cause cramping, burning, and radiating pain. Because up to 50 percent of chronic hepatitis patients have gallbladder problems, gallbladder pain is often mistaken for liver pain.

A full abdominal ultrasound examination should be able to determine if the liver is inflamed or if gallstones are present. Surgery may be needed if the gallstones are large. If there are liver symptoms, ask your provider to order a spleen size and portal vein diameter as well.

Once liver or gall bladder inflammation is brought under control through surgery and/or treatment, abdominal pain should disappear. However, sometimes pain sensations continue even when the causes are controlled. Pain triggers in the brain cause this “ghost” pain if discomfort has occurred for an extended time. Scar tissue from old surgeries or liver injuries can also cause discomfort.

Bottom line: Abdominal pain may not necessarily mean that your hepatitis B is worsening. If you experience pain in any part of your body that affects your life, it is important to call your doctor immediately. Blood tests, ultrasounds and liver biopsies will ultimately show how your liver is doing and what is causing your discomfort.

Comments on this blog are closed. If you have questions about hepatitis B or this blog post, please email info@hepb.org or call 215-489-4900.

80 thoughts on “When Is That Pain Hep B-related and When Is It Something Else?”

  1. Hello.when you have the right upper back pain and in the sholder does it mean that you have a liver damage or I can stay longer with this pain or it will go away and I stay anomal love them you.

    1. Hello: Please talk to your doctor about your shoulder pain. Usually hepatitis B does not cause this type of pain. Please see your doctor to find out its cause. Good luck.

    1. Hello: Hepatitis B does not usually cause abdominal pain. I recommend that you see your doctor and explain the pain and see what might be causing it. It may result from a medical condition not related to hepatitis B. Good luck.

  2. Hello

    My friend has had 2 episodes of abdominal pain,the first we ignored but the second one was so intense that we had to see a doctor, who recommended him for various tests.
    One of the tests confirms that he has Hepatitis B, sadly!

    He has to undergo through 3 other tests and one of them he said is to check the viral load, But as we wait for the results, Is the abdominal pain that he is experiencing related to the viral load in his body?

    1. Hello: Generally, hepatitis B is known as a “silent infection” because it rarely causes pain or side effects. (See: http://www.hepb.org/blog/when-is-that-pain-hep-b-related-and-when-is-it-something-else/) There are few sensory nerve endings around the liver, so abdominal pain does not usually result. I encourage him to see his doctor and describe his symptoms, as they may be caused by another medical condition. Make sure he is tested again in six months so he can determine if this is a new infection, which he may clear, or whether this is a chronic infection that he contracted at birth or during early childhood. Good luck.

  3. I have chronic hep b. I found out two years ago and have not gotten any treatment. Can this be causing my back pain?

    1. Hello: Keep in mind that not everyone with hepatitis B requires treatment, many people live long and healthy lives with hepatitis B. Generally, medical guidelines recommend treatment if you are experiencing liver damage. This is indicated by an ultrasound and a simple blood test for the liver enzyme ALT (also called SGPT). Our liver cells release ALT when they are damaged or die. Healthy ALT levels for men are up to 30, and for women they are up to 19. Please consult with your doctor and see what your ALT levels are to determine if you require treatment and tell the doctor about your back pain to see if it is caused by another medical condition. Good luck.

  4. Himy name is Eny,i was diagnosed with hep b this year around September. Did all the necessary last text and the doctor told me my lab results were all good and i was given an appointment to see them in march. I started having fevers,nausea and chills. To worsen it i developed a uterine bleeding which have lasted for almost 22 days now. Saw the gynaecologist and drugs were prescribed but am worried. I have kis and they all tested negative.
    I get very weak and tired sometime could this be part of the symptoms?

    1. Hello: I am sorry to hear about the health problems you have had. Uterine bleeding is not normally associated with hepatitis B. It is important that you continue to see your gynecologist and take the medications that the doctor prescribed.
      As for your hepatitis B, have you been tested again for the hepatitis B surface antigen (HBsAg) to find out if you had a short-term (acute) infection or if you were infected during childhood and have a chronic infection? When healthy adults are infected, it usually takes about six months for them to clear the infection, but when newborns or young children are infected, their immature immune systems don’t notice the infection and it becomes chronic. Please make sure you get tested for the liver enzyme called ALT (or SGPT) to make sure the infection is not harming your liver. Good luck.

  5. My doctor says am infexted with hb but befoe tgen i hard this pain under the rrght side of my drest and still have the pain now eash time i eat some things even my sholder what can i do?

  6. I was diagnosed with hep b 5 years ago and i treated it twice but i often feel weak,joint and shoulder pain and back ache.Recently i discoverd i can’t stand and teach my students anymore because i get confused, and forget what i want to say.are all this related to hep b or its another health problem?

    1. Hello: There may be other medical conditions causing your confusion and fatigue. But to rule out anything associated with hepatitis B, please talk to your doctor, describe your symptoms, and get your liver enzymes tested and an ultrasound to rule out any liver-related conditions. Good luck.

  7. Hello,i found out i have been diognised with hepatitis b in 2013,it really scared me at first but after reading severe articles im doing well psychological and am always on my check up for my liver condition,recently my boyfriend left me because i told him about my condition,it really hurts me a lot,that i can not be like any other girls nor i cant love a man of my life..i always pray you find a cure for this disease and raise awareness.I wish i could get a nice and better medical services abroad.

    1. Hello: If he left you because of your hepatitis B, you are better off without him. You will find a man who loves you truly, don’t give up!!! Good luck.

  8. Hi,my question is for how long is it approximated will a hep b victim expect to live if he is in a good medical care,am a girl aged 22 and am having a lot of dreams,but since i knew about this all my dreams were vanished,and im here waiting whether ill wake up healthy tommorrw..am so depressed..and you should provide the medicines all over the world.

    1. Hello: Please be assured, the vast majority of people with hepatitis B live long and healthy lives and never require treatment for liver damage. Also, being female, also reduces your risk of liver damage. It appears estrogen confers some protection to people with hepatitis B.
      Don’t let your hepatitis B define you, it is an infection. You are very healthy even with hepatitis B.
      It’s not health, income, or outside circumstances that hold us back. It’s our perspective. There are many people who succeed in this world in the presence of severe obstacles. They succeed because they don’t let it limit them. And they don’t feel sorry for themselves – they use what they do have to their advantage.
      Good luck.

    2. Hi Yaeli, I saw your post about what you are going through with your hepa B. Don’t stress yourself out to much. I was infected before and i never knew about it until i decided to donate a blood and doctor told me that they cannot used it because i was infected before and now i’m totally clear. Being a female is really an advantage just don’t smoke, eat healthy foods, drink a lot of water, and especially don’t drink liquor.

      If your boyfriend left you because of that then he’s not worth it. Focus first with your health right now before anything else and if everything is doing okay now then find someone that will love you for who you are.

        1. Hello: When healthy adults are infected with hepatitis B, it can take up to six months for the immune system to clear the infection. This is called an acute infection. However, if your hepatitis B infection continues for longer, it may mean that you were infected when you were a newborn or very young, and now have a chronic or long-term infection. Good luck.

  9. I have made a taste LET HEPATITS. B e Ag
    And the result is
    S- BILIRUBIN TOTAL 9 UMOL/L
    BILIRUBIN CONJUGATED, SER 3UMOL/L

    S- ALKALINE PHOSPHATE 50UMOL/L
    S-g- glutamic transferase 10UMOL
    S-AlT (GPT) 10UMOL/L
    S-AlT (GOT) 16UMOL/L
    S-TOTAL PROTEIN 73UMOL/L
    S- Abu mind 49umol/k
    What dose it means to my liver

    1. Hello: When we are infected with the hepatitis B virus, we test positive for the hepatitis B surface antigen (HBsAg). I don’t see that in the lab results you sent, but that is an important lab result to know.
      How for your results, I will comment only on the ALT/SGPT report, which appears to be 10. ALT or SGPT are liver enzymes that liver cells release into the bloodstream when they are damaged by hepatitis B, or alcohol, or toxins. The healthy range for ALT/SGPT for men is up to 30 and for women it is up 19. Your test result of 10 is very healthy.
      In addition to a test for HBsAg, and the hepatitis B “e” antigen and antibody, you may need to have a viral load (HBV DNA) test to see how much virus is in your body. You should get tested every six to 12 months, so doctors can monitor you and be on guard for any liver damage.
      Good luck.

  10. I found out dat I’ve hepatitis B 4 yrs ago. cuz of financial problems I’ve nt treated it til now. Im scared to die. what shld I do

    1. Hello: Keep in mind that not everyone with hepatitis B requires treatment, many people live long and healthy lives with hepatitis B. Generally, medical guidelines recommend treatment only if you are experiencing liver damage. This is indicated by an ultrasound and a simple blood test for the liver enzyme ALT (also called SGPT). Our liver cells release ALT when they are damaged or die. Healthy ALT levels for men are up to 30, and for women they are up to 19. Please consult with your doctor and see what your ALT levels are to determine if you require treatment.
      If you ever do, there are two very effective antiviral medications that are recommended: tenofovir (Viread) and entecavir. Good luck.

  11. Dear sir my father suffering hepatitis b and he suffered many time stomach pain it’s come 5to 10 days please suggest a right type medicine.

    1. Hello: Hepatitis B is called the silent infection because it rarely causes side effects, such as abdominal pain. Our livers have very few sensory nerves near them, so we rarely feel any physical discomfort from a hepatitis B infection. If your father continues to have discomfort, I recommend that he see his doctor. A medical condition unrelated to hepatitis B could be the cause. For more information about abdominal pain and hepatitis B, read: http://www.hepb.org/blog/when-is-that-pain-hep-b-related-and-when-is-it-something-else/
      Good luck.

  12. Dear Sir,
    I’m 29 years old guy.I had diagnosed with HBV positive ten years ago. Now I’m chronic HBV patient My viral load is 890. My LFT Test says: ALT 89U/l APT 61 u/l GGT 66u/l AST 57ul/l
    Total Bilirubin 0.32mg/dl
    Ultrasound Report says,
    “Liver appears coarse in texture with slightly irregular margins. Portal vein is upper limit of normal measures 1.2 cm. No lesion is seen in gallbladder, common bile duct and spleen.”
    But contrary to U/S report, Fibroscan Test report says,
    “The value of 6.0 KPA for HBV Hepatitis correlates with F0-F1 stage of liver fibrosis.”
    After all these tests, the Gastroenterologist that I consulted said that your viral load is not that much high so you don’t need any kind of medication. I was very happy at that time. Later for second opinion I consulted another Gastroenterologist, He said you ALT is not in range so there could be a problem in your liver, so you need to go for Liver Biopsy. After his this comment I was very upset till yesterday. Today I consulted another Gastroenterologist who said you don’t need any Biopsy, whoever said this to you that guy is insane. Though I’m satisfied after this consultation, but my mental condition is still upsets.
    I have chest pain, pain in cervical and lumbar spine, pain in legs and hands, and stifness in the neck and pain in the ears. Please let me know are all these symptoms HBV related? Please guide.

    1. Hello: Medical guidelines recommend treatment only if your viral load is high and your ultrasound or liver enzyme test for ALT indicate liver damage. Your viral load is relatively low, your ALT test is moderately above normal, indicating some liver damage but as your doctor indicated, not enough to merit antiviral treatment, which you would have to stay with for many months and possibly years.
      Your other symptoms you describe are not normally associated with hepatitis B. Please review them with your doctor, and try to work on a healthy lifestyle, including healthy foods and exercise, which may help reduce your stress and some of these symptoms.
      As you probably know, you can do a lot to protect your liver from hepatitis B, including avoiding alcohol and cigarettes, which harm your liver.
      Keep getting monitored, encourage your family members to be tested and vaccinated, and remember to practice safe sex. Good luck.

  13. My husband is 54 year old n diabetic person. He is suffering from acute hepB. He is taking tenofovir. sometimes diabetes is not in control. What worries me is whether he will came out of hepB in 6 months.

    1. Hello: How long has your husband been infected with hepatitis B? Most healthy adults who are infected are able to get rid of the virus on their own within six months, this is called an acute infection. However, if you continue to test positive for HBsAg for longer than six months, it is considered a chronic infection. It means you were probably infected at birth or during early childhood, when your immature immune system could not fight it.
      I know it is difficult to wait six months to find out if your husband will clear the infection or if he has chronic hepatitis B.
      Medical guidelines recommend treatment only if you are experiencing liver damage, indicated by an ultrasound exam or elevated liver enzymes (ALT or SGPT). Did his doctor recommend treatment because of liver damage and is that why he prescribed tenofovir? Tenofovir is a powerful antivirals that is effective in treating hepatitis B.
      Knowing whether your hepatitis B is acute or chronic will help you and your doctor determine your next steps. Please get him tested again in six months to find out if it’s chronic or acute. If you are unsure of what your blood test results mean, please visit: http://www.hepb.org/prevention-and-diagnosis/diagnosis/hbv-blood-tests/
      Unless his diabetes weakens his immune system, it may not play a role in determining whether his hepatitis B is acute or chronic.
      Good luck.

  14. I would like to thank you for your explanation about Hepatitis B virus, I learned so many things about HBV, How could I ask bout my problem about HBV hepbtalk?

  15. I suffered hbv for about 10 years today , now the last time ivrunned the profile it was non replicative. I was kept on a drug that wiil drastically reduce the viral load. But rsight after completing the drug, I never continued and now I feel pains around the upper part of my stomach. Please what might be the cause?

    1. Hello: As this blog post indicates, abdominal pain is not common with hepatitis B because we have very few sensory nerves around our liver. Please see your doctor and describe your symptoms to see if the discomfort results from something other than hepatitis B. Also, you should continue to be monitored at least every year even if you have a low viral load to make sure your hepatitis B infection is not harming your liver. Good luck.

  16. Please is there any assistance to any one with the disease because money for the treatment is a problem. Please help me out, I didn’t know how it come about. Thank you

    1. Hello: Keep in mind you do not require treatment unless you have signs of liver damage and a high viral load. Many people live long and healthy lives with hepatitis B, especially if they eat healthy foods and avoid alcohol and cigarettes. I don’t know where you live, but the World Hepatitis Alliance (www.worldhepatitisalliance.org) has organizations in many countries working on reducing hepatitis and they may be able to help you. Please check their members page for an organization near you. Good luck.

  17. I’m very happy with the way you explain this to me, but please help me to understand, my stomach pain with out body painevery day. Please it’s results of hepatitis

    1. Hello: Abdominal pain does not usually result from a hepatitis B infection. Please see your doctor and description the pain, it may result from a medical condition that has nothing to do with hepatitis B. Good luck.

  18. Hello, I’m experiencing pains in upper regions of my abdomen and also sometimes vertically in the right revion especially when i bend down. I tested possitive for hepatitis, but i took teo tests for HBv and HVc which all came out negetive.

    1. Hello: What you describe is not normally associated with hepatitis B. The discomfort you are experiencing may be caused another medical condition or problem, please contact your doctor and describe your symptoms. Good luck.

  19. Hello , I received oral from a woman who was pregnant in Dec 2016(she broke up with her ex 3 months before) and my penis started burning. Then 2 months later I had pressure in my lower abdomen then kidnys at bck wsfe burning a lot then went away comes back edry now and then. Then it kind of went away after I took 2 pills (500mg each) of Azithromycin 3 days after I took the 2 Azithromycin pills my liver area towards the side (flank area) felt some pressure and burning and also the burning sensation goes towards my back as well. I’m really scared of having hep because I already have enough problems in my life.
    I’m very depressed feels like I can’t ever have kids either now

    1. Hello: The symptoms you describe are not normally associated with hepatitis B. Please go and see a doctor about your symptoms, as they may result from medical conditions unrelated to hepatitis B.
      Also, please get vaccinated against hepatitis B so you do not have to worry about this again. Good luck.

    1. Hello: The U.S. National Institutes of Health has a website that identifies when drugs are toxic to the liver at: https://livertox.nih.gov/
      Please look up any medications that have been prescribed on that website. You are correct, some anti-epilepsy drugs are extremely toxic to the liver. Good luck.

  20. I recently found out my HBV DNA increased. I’m experiencing dull surface pain upon touch on my abdomin 1 and 3 inches from my belly button. Is this a sign of hepatitis?

    1. Hello: Abdominal pain can be caused by a variety of medical conditions unrelated to hepatitis B. Please continue to be monitored regularly, and make sure your liver enzymes (ALT of SGPT) are also monitored along with your viral load.
      Eat healthy foods, and avoid alcohol and cigarettes. See if you and your doctor can figure out why your viral load is increasing, it could result from age, fatty liver or some other stress on your immune system. Good luck.

  21. Do all gastroenterologists specialiize in treating HBV? How do we find specialists in our area? Zip code is 14620, can you provide recommendation

  22. Hi! I was diagnosed with chronic HB in 2008, the doctor told me to stop drinking. He just gave me some vitamins for the liver (sylymarin) since I won’t be needing any drug but I failed to continue them. I was young and stupid and immature. I DID NOT STOP DRINKING (wished I could’ve been more careful and mature), during that time psychologically I was denying it, thingking that I’m good for drinking since I didn’t feel any symptoms, though I only drink occasionally but in large amounts. Though I have plans to totally eliminate it now. Lately, I felt some spasms and twitching in the middle and right side of my stomach having this feeling of numbness as well but no pain but got this right upper shoulder pain from time to time. I’m planning to see the doctor this week or the next. What could be the possibility of the stomach spasms (not painful) and from time to time right upper side of the scapula?

    1. Hello: As you know, our livers have very few sensory nerves around them, so even when a liver is damaged by hepatitis B, we rarely feel it as abdominal pain.
      It is important for you to see your doctor, and get a liver function test (specifically for ALT/SGPT) to find out the health of your liver. Please describe the symptoms you are experiencing, as they may be caused by another medical condition other than hepatitis B.
      It is very important to stop drinking, avoid smoking, and lead a healthy lifestyle to preserve your liver health.
      Good luck.

      1. Thank you so much for the response. It made me feel better that somehow I got less thoughts about HB. More power to you and to the team. Your words are very powerful. Please continue helping. God bless us all.

  23. Hi! I am HB positive and the company where I work is requiring us to have a Blood Chemistry Test. Is there any posibility that HB may appear on the test? Thanks

    1. Hello: Depending what country you live, your company may be testing for hepatitis B. Unfortunately, some countries continue to discriminate against people with hepatitis B, even though they pose no health threat whatsoever to coworkers. Good luck, let us know what happens.

  24. I am destroyed. Overcame cancer multiple times only to end up with hepb. I have lynch syndrome so I am already prone to cancer. So do I have a strong possibility of liver cancer now? I haven’t had sex with anyone but my husband in a decade. But I have done missionary work in poverty countries. Also had blood given during surgery. I don’t know what is what with this newest battle

    1. Hello: Hepatitis B is not a death sentence, nor does it mean it will develop into liver cancer. Please post your lab report and we can better tell your hepatitis B status and whether it is affecting your liver health.
      Please do not despair! And of course eat healthy foods, avoid alcohol and cigarettes, and make sure your husband is tested for hepatitis B. Good luck.

  25. Im 30 y.0 and diagnose just this moth and i dont know when i been infected

    1. Hello: When you test positive for the hepatitis B surface antigen (HBsAG), it means you are currently infected with hepatitis B. Most healthy adults who are infected are able to get rid of the virus on their own within six months. This is called an acute infection.
      However, if you continue to test positive for HBsAg for longer than six months, it is considered a chronic infection. It means you were probably infected at birth or during early childhood, when your immature immune system could not fight it.
      Knowing whether your hepatitis B is acute or chronic will help you and your doctor determine your next steps. Please get tested again in six months to find out if it’s chronic or acute. If you are unsure of what your blood test results mean, please visit: http://www.hepb.org/prevention-and-diagnosis/diagnosis/hbv-blood-tests/
      Good luck.

  26. I have Hepatitis B and I’m losing weight drastically. A bit of Headache and lower back pain . No fever and no loss of appetite.
    What should I do?

    1. Hello: Please talk to your doctor immediately to see what is causing your weight loss.
      Have you had tests for liver damage — for the liver enzyme ALT (also called SGPT)? This blood test measures the amount of ALT/SGPT in your bloodstream. When liver cells are injured, they release ALT/SGPT into the bloodstream. Normal, healthy ALT/SGPT levels for men range up to 30 to 40, and for women up to 19. This will show if liver damage may be contributing to your weight loss.
      There may be other medical conditions causing this symptom, unrelated to hepatitis B, so please talk to your doctor. Good luck.

  27. Hi, I was diagnised with chronic hepatitis B last year in Dec. Since then I have been having abdominal pain and a bad breath.
    What should i do?

    1. Hello: Was December the first time you have ever tested positive for hepatitis B?
      When you test positive for the hepatitis B surface antigen (HBsAG), it means you are currently infected with hepatitis B. Most healthy adults who are infected are able to get rid of the virus on their own within six months. This is called an acute infection.
      However, if you continue to test positive for HBsAg for longer than six months, it is considered a chronic infection. It means you were probably infected at birth or during early childhood, when your immature immune system could not fight it.
      If December was the first time you were diagnosed and tested positive, you need to get tested again now to find out if you have acute or chronic hepatitis B. If you are unsure of what your blood test results mean, please visit: http://www.hepb.org/prevention-and-diagnosis/diagnosis/hbv-blood-tests/
      Abdominal pain is rarely associated with hepatitis B, neither is bad breath. Please talk to your doctor to find out if they are caused by another medical condition. Good luck.
      Good luck.

      1. Thanks for the comment. I was again tested in early May this year and the result was HBsAg positive. I was advised by the doc to further do viral load or ALT test, which i will soon go for.

  28. Hi.
    I was diagnosed with Hep B 5 years ago. I have blood test and ultrasound every 6 month. The ultrasound show that I have multiple echogenic lesions within liver. My doc never tell me what the blood test result mean. I’m very concerned about my hep b that whether it gets worse on every blood test and ultrasound.
    On my last blood test report, everything is in range, but my ALT is 15 (U/L), my AST is 20 (U/L), my hep b virus DNA load is 5987 (IU/mL) and 3.77 (LogIU/mL).
    I very appreciate if you tell me my hep b status and what all above readings mean
    Thanks a lot and regards

    1. Hello: According to reports, echogenic lesions in the liver can be benign – not cancerous. The fact that your ALT and AST (liver enzymes) are within normal range may confirm that the lesions are benign. Your viral load is moderately high, do you know your hepatitis B “e” antigen (HBeAg) status? Also, what is your gender and age? Liver cells release the enzymes ALT into the bloodstream when they are injured. Healthy ALT levels range up to 30 in men and 19 in women, so your liver is in good shape. If the lesions were cancerous, your ALT would be higher. Good luck, keep getting monitored, and you may want to ask your doctor about an AFP test. Last question, what country do you live in? Good luck.

      1. Thank you for your reply. Back to my blood test collected in March 2015, my hepatitis Be Antigen is NON-REACTIVE, my hepatitis Be Antibody is REACTIVE, my hepatitis B Surface Ag is REACTIVE, my hepatitis B Surface Antibody is NON-REACTIVE. Since then to so far, the blood test result of my hepatitis function panel never show the above status again.
        I’m 60 years old, female. I’m leaving in USA. Is there any way to keep my viral load down and low.
        Thank you for your help and best regards.

        1. Hello: I’m sorry I don’t know your history, if you are experiencing liver damage (with elevated liver enzymes – ALT/SGPT) and have a high viral load (HBV DNA) medical guidelines recommend treatment with antivirals, which will lower your viral load and risk of liver damage.
          If your ALT/SGPT is normal and your viral load is moderately high or increasing, your doctor should monitor you frequently, at least every six months.
          As we age, our immune system weakens and may no longer be able to suppress viral replication as effectively, so please get monitored frequently.
          Good luck.

  29. Hello good day I got tested for hep b. And am feeling pains with my chest, back and throat and also feels that something is moving through my skin. I will like to know if is also the cause if hep b

    1. Hello: Those symptoms are not normally associated with hepatitis B. Please consult with your doctor to see if they are resulting from stress or another medical condition. In the meantime, eat healthy foods and avoid alcohol and cigarettes. Good luck.

  30. Good day.I have been experiencing joint pains,fatigue,back pains and headaches.I also experience brain fog and dizzness caused by low blood sugar (hypoglycemia).I read somewhere that Hep B and C have a link with diabetes.I went for blood tests today and I am praying that my results are clear.I just want to know if those symptoms are associated with Hep B or C.

  31. Ok, Now Accordin 2 All What I Have Learnt Out From Hb Virus There Is Drug In The World That Could Eradicate This Virus From A Body. Only Words Of Advise 2 Minimis It.

    1. Hello: There is no cure for hepatitis B at this time, however experts predict a cure should be developed in the next few years. There are antiviral treatments (with either tenofovir or entecavir) that can reduce your viral load (HBV DNA) and your risk of liver damage. Good luck.

  32. Hi Doctor I have an hepatitis b positive since 2016 and now in this month of June the doctor test for bilirubin is 0.6
    AST 25
    ALT 24
    Serum albumin 4.5
    Viral load is 3920
    What does it mean for my health?

    1. Hello: Your liver function test shows you are not experiencing any liver damage at this time, which is a good thing. When liver cells are injured, they release the enzyme ALT into the bloodstream. Healthy ALT levels range up to 19 in women and 30 in men. Please keep getting monitored at least once a year, avoid alcohol and cigarettes, and lead a healthy lifestyle and practice safe sex to avoid spreading the infection. Also, please have your family tested and vaccinated. Good luck.

  33. After my liver test show no liver damage,but i keep on experiencing the stomach pain moving from one point to the other, right now the pain could be feel at the right upper part of stomach and back pain together and always have slightly headache, note am 32years already and it seem am infected from childhood couple with the fact that i have been smoking for more than 10year but am trying to stop it already based on your advise, is there any chance of me having a liver damage already.

    1. Hello: All livers infected with hepatitis B experience some intermittent inflammation and damage, however it sounds like current tests show no liver damage.
      However, please try to stop smoking. Smoking, drinking alcohol and having fatty liver from being overweight can worse a hepatitis B infection. Please lead a healthy lifestyle, get monitored regularly, and try to stop smoking.
      Good luck.

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