<human>: dear sir, i have been hbs ag positive ,hbe negative and normal ALT for last 13 years.but recently only i tested viral load and it is 20560 iu/ml .i am 32 now. i got occasional drinking habit(say 10-12 times in an year).otherwise no major health issues for me. seeking your advice regards vishnu kerala india
<bot>: Thanks for your question on Chat Doctor. In my opinion you should consult gastroenterologist as your viral load is quite high. And this high viral load can cause liver damage. I suggest you to check anti HBS antibodies. As this defines protection. And I think your this tier will be negative as your viral load is high. So you need to start treatment for this. Antivirals are available for Hepatitis B virus, and they are quite effective in decreasing viral load and increasing anti Antibodies. So consult gastroenterologist and discuss these things.