S2E1 - Hepatitis B Virus Infection Treatment Simplified | Dr Abby Philips

In this video, in plain simple language, I discuss hepatitis B virus infection (HBV) - whom to treat, when to treat, and when to stop treatment.

Does everyone with HBsAg+ve require treatment?
Is there a cure for HBV?
Can HBV-related cirrhosis be reversed?

Sources:

HBV treatment guidelines from major clinical societies:

American Association for Study of Liver Diseases (AASLD)

European Association for Study of the Liver (EASL)

Asia-Pacific Association for the Study of Liver (APASL)

Stopping HBV treatment in chronic HBV patients (APASL guidelines update)

Reversing HBV-related cirrhosis:
1. Liver Fibrosis Reversion After Suppression of Hepatitis B Virus
2. Reversibility of hepatitis B virus cirrhosis after therapy: who and why?
4. Long-term therapy of chronic hepatitis B reverses cirrhosis

A cure for HBV infection:

TheLiverDoc channel aims to provide the latest updates from scientific literature, through simple, easily understandable discussions, regarding healthcare practices in persons with liver disease

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This video is fundamentally based on:
Article 51A[h] of The Constitution of India: It shall be the duty of every citizen of India to develop the scientific temper, humanism, and the spirit of inquiry and reform.

Host: Dr. Abby Philips M.D., D.M (Clinical Scientist, Hepatology) at Rajagiri Hospital, Aluva, Cochin, Kerala, India
'The Liver Doc' logo by Yeh! (Indonesia)
'The Liver Doc' logo animation by Navas
Video editing on Adobe Premier Pro
Video shot on Panasonic Lumix S5, 50/1.8 lens

[stormchaser]

Ayurveda is Best for Hepatitis (any type). I have been cured By using Ayurveda. Ayurveda is doing surgical strike on YOUR bread and butter so Ur scared. Better to Take Retirement and go to Himalaya mountains. U will get some peace there

[gunjansharma]

Wish every doctor could be like you, having deep knowledge and understanding towards this major problem.

[pramodsawant]

A Patient who had cirrhosis with chronic Hepatitis B visited a senior resident doctor (Gastroenterologist) who told him he can't start anti viral therapy because of negative viral load.

[i_aashishpawar]

Thank you so much sir, it's a spot on video on HBV, just want to know any particular dietary measure or diet for HBV patient with Cirrhosis with Fibroscan 13.9 Kpa.
Thank you so much 🥰

[gitenkh]

Thank you Dr. Philips- very useful. There is also this big discussion among specialists (although still divided) on test and treat for HBV ( so treat once HBsAg positive) or decreasing the HBV DNA threshold to 2000 from the current recommendations of 20, 000 IuML. There are also interesting recent articles about the benefits of treating patients at the immune-tolerant phase and the association of advanced liver disease with higher viral load. The HBV medications (on at least a functional cure) and recommendations on when and whom to treat are going to evolve rapidly and will be a fantastic area to watch out for in the next 5 to 10 years. I look forward to more of your talks.

[mornubien]

God bless you doctor and you keep saving the human lives you will have a lot more success in this year 2023 and the following years

[stormchaser]

Kerala is Most Educated State. But Kerala needs more Psychiatrists. Some people need them on urgent basis

[Oceanaugucacere]

Dr ..i am 44 years man, i was exposed by hbv in 2019, i knew it by chance, because i never had symptoms and when i knew it, i only had antibodies but superficial antidote was negative, and igm negative and igg positive . I have made that test three times since 2020 and the last one was one month ago of 2024 ...what is my prognostic and what should i do ? Thank dr. 19:21

[Zeddd]

Thank you so much liver doc for explaining this so clearly and simply. This is the best Hep B video I could find on YouTube. It gave me the confidence to take the medication and the knowledge that Hep B is treatable. I am very grateful that you shared this information on YouTube!

[WTAK]

Thanks for the wonderful video doc! I have a query, please do answer me. My husband is Hbsag positive, since the last 30 years, his viral load last checked was 4000, earlier it used to be more than 10, 000. LFT was normal, Ultrasound was fine. Can we go for treatment to completely cure him of the virus? Because all along we have been told it is a sleeping virus and treatment can actually activate it! Waiting for your reply!

[Rohit]

Last year, during a surgery, I was diagnosed with hepatitis B. Since then, I have been taking Taf 25 mg as prescribed by my doctor. However, I have been experiencing constant fatigue and drowsiness throughout the day. I am unsure of the cause of this and would like to know if there are any ways to alleviate these symptoms. Can you provide any information or guidance on this?

[solomonidenyi]

Can someone combine herbal drugs and tenofovir for the treatment of hepatitis b?

[voxproduction]

Sir a patient has history of rap recurrent acute pancreatitis 6-7 times in last 15+ years aged 53 female ... diabetic hypertension.... gallbladder removed in 2014 ..uterus also in 2012. Patient stable on managing diabetes n hypertension...we did mri in 2017 it showed pancreatic divisum ...then after that few acute pancreatitis attacks occured vd major in 2021 early then few vd no hospital admission required...then we did mri in 2022 it showed pancreatic divisum n fatty liver then Dr advised us eus endospic ultrasound it showed chronic pancreatitis early...patient has no pain at all only gets when when there is an attack ..patient was put on enzymes creon 25k bd then now on pancreoflat 170/80 bd n other medications...patient is stable. There is difference between GASTRO some say stent is required some say it's not..some say it's heridiaty pancreatitis.and not chronic pancreatitis because there is no pain .so kindly guide us what to do ...thanks

[VijayanKk]

Highly valuable and updated information explained in a simple way

[mrinaladdhenki]

Can u help with a proper diet plan people shud follow with HVB in detail... a humble request how we can live long and healthy life. Even Amitabh bachan hav it but he is doing still well at the age of 80 also he is my inspiration. And u r going to be a big support doc. Plz focus more on health deit habits what we can follow

[afsalrpm]

എനിക്ക് hepatitis B ആയിരുന്നു ഞാൻ ആദ്യം ആയുർവേദ മരുന്ന് നോക്കി കുറവാക്കാത്ത കാരണം പിന്നെ പെരിന്തൽമണ്ണ അൽഷിഫായിൽ പോയി എന്നിട്ടും മാറിയില്ല അവസാനം ഈ സാറിനെ (abhy ഫിലിപ്പ് )കണ്ടു അന്ന് സാർ EMC യിൽ അറിയിരുന്നു. അന്ന് സാർ പറഞ്ഞതാണ് മഞ്ഞപിത്തം വന്നാൽ പച്ചമരുന്ന് കൊണ്ട് ഒരു ഉപകാരം ഉണ്ടാകില്ല എന്ന്... എനിക്ക് രോഗം മാറാൻ സാധ്യത 10% മാത്രമായിരുന്നു... മറക്കില്ല സാർ ഒരിക്കലും ❣️

[trident]

I still didn't get whether hepatitis b can be cured in chronic patience or not.
As per the mayo clinic, chronic hepatitis b is for lifetime, it. can be treated but it cannot be cured
what's your opinion dr abby?

[bhatmash]

Sir I had ALL chemo treatment in 2010 and got infected with hep B and C. In 2015 I got interferon treatment for HepC and entihep 0. 5 for hepB. Sir currently I am feeling sought of fatigued and some feeling of heavyness near liver. What should I do.

[GiftEhis-yp]

I’ll gladly recommend Dr Igudia to you all for any STI medication. I finally got rid of my Hepatitis B with the help of this doctor. Thank you Dr Igudia, if the world has more people like you, it will definitely be a better place, keep saving lives sir.

[mohdkashif]

I used to have stomach gas issue very frequently
Had so many tests but no problem
Then one homoeopathy docotor gave a medicine and the problem goes off the window
However the problem came back now and forth
I kept taking homoeo medicine
Whenever I took the medicine, the problem goes off
After shifting to different city, new homoeopathy docotor recommended the hepatitis b disgnose test
And it was positive
On dna viral count my count was 35000
Hepatologist of appllo hospital recommended tentide AF and since then gas problem generally isnt there

I am diagnosed with hepatitis b
Later on discovered it is hereditary
In past One death was also there in family tree because of cirrhosis (without alcohol)

Still on medication but viral count is zero

Have to take medication till cure comes which is under clinical trials