I was first diagnosed with Hep b 2002 when I was in college ass I volunteered to donate blood for I didn’t even know. I think God I knew about my state early.
In 2012,a GP put me on TDF/3TC and stopped me after 1 yeay haphazardly.In 2017 I visited a gastroenterologist and I had a viral load of 147991IU/ml and f3 fibrosis.I restarted TDF/3Tc and the viral load was undetected 3months later until today.
On 9.9.2021 I did the following tests and the results were as follows:
MULTIPLANAR TRIPHASIC IV CONTRAST:
FiNDINGS: "The liver is normal in size and parenchymal pattern.MCL span 12 cm… No hypervascular or other focal hepatic lession detected.No steatosis or parenchymal coarsening.Liver density is normal at 56HU.No dyaphorphism, irregularity, atrophy or other cirrhotic changes noted.No periportal oedema or fibrosis noted.Portal vein(12mm) is not enlarged and has normal contrasting filling.No enlarged portosystemic collaterals.Hepatic veins are normal.
HEPATOBLIARY U/S, FIBROSCAN WITH CAP
FINDINGS:"The liver is echogenic with a heterogenous hypoechoic appearance.Multiple rounded echogenic lessions are seen and may represent haemoangiomata or focal fatty areas.No mass or nodule was shown.It has a reduced span of 10.9cm.Cpsular outline appears smooth.There is no ascites seen around the liver.Portar vein diameter is 8.5mm with hepatopetal flow.The CBD is normal in diametre.GB is acalculous.
Fibrosis score is F0-F1 (7.0kPa)no or mild fibrosis.CAP score is 238dB/m(steatosis grade S1)
AFP :0.956ng/ml
ENDOSCOPY:
FINDINGS,"varices grade 1, early portal HTN.
SALMONELLA ANTIGEN: negative.
VITAMIN D3:61.06.
LVER FUNCTIONS TEST,:only GGT is slightly elevated at 55.2UL
My concerns are:
1.Does early portal HTN really cause varices or there is an error here?
2.I have never had CIRRHOSIS,how did I get varices and portal HTN?
3.US finds steatosis which is missed by CT scan, which is accurate?
4.CT says the liver parenchymal is normal while US gives a different picture. Which is accurate?
5.CT scan finds no liver atrophy while US finds one. Which is factual?
In Africa (Kenya)getting a gastroenterologist leave alone an available one is an uphill task. Can somebody give me a summary of what these findings imply.
I have lived with Hep b for a very long time that it never stresses me. It’s part of my life.