Hello doctor, this is Edwin, 36 years, 5" 4", 71 Kgs, from India. On 30.08.2011, I have been diagnosed with borderline HBs Ag Positive when I had to undergo some tests for Laparoscopic Cholecystectomy. Is there any cause for alarm? What are the remedies? I never did drugs nor had blood tranfusion in my life. Please help.
Hi Edwin, How are you? My name is Chat Doctor.  Thanks for writing to Chat Doctor and I hope to answer your question today.  I am so sorry that you have to undergo this anguish of a borderline Bag result. I understand form your history that the test was done 3 years ago. Was any repeat testing done? Were you advised vaccination against hepatitis B? And were you advised any other blood tests? If not then I think the time has come for you to get re-tested. I would start with the Bag test itself and if that is negative, that would be the end of it. But if again it turns out to be positive or borderline, then I would advise you to further get tested for Bag, Anti HBC AG antibody, and Head. These tests will help put your mind to rest. The most definitive test would be to get a hepatitis B viral DNA level checked, but I would not do it unless I have done all the other tests. Hope this helps you and hope you get to feel better. Please do not hesitate to write back for clarifications. Have a great day.