Indications for Therapy

Children with chronic HBV should be examined for possible antiviral therapy with the laboratory tests listed below under a-IFN. Serum a-feto protein, a relatively insensitive marker for HCC should be performed. HCV and human immunodeficiency virus (HIV) should be assessed as well because they are bloodborne pathogens which sometimes coinfect children with HBV. Baseline ultrasound for cirrhosis, HCC, and to mark a site for percutaneous liver biopsy should be performed before initiation of therapy; liver biopsy should be performed prior to initiation of therapy. Indications for antiviral treatment in children are similar to those in adults and include the following: (1) presence of hepatitis B "e" antigen (HbeAg) and HBV deoxyribonucleic acid (DNA) in serum, (2) elevated alanine aminotransferase (ALT), and (3) evidence of inflammatory activity in the liver biopsy.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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