How long can I stay like this without my virus getting replicated? I am like this since 13 years. Will i have some changes in my viral count and what could trigger it?
No one is able to foresee your future or know whether or not you will see changes in your viral count. But, statistically we do know that people with your profile (that is, if you are not drinking alcohol frequently and using drugs, if you are, it will be important for you to make life style changes) are more likely to stay in a good condition of health than those that do, and there are several reasons for this (I discuss this further below.) The people that are affected (develop cirrhosis and cancer) due to Chronic Hepatitis B (HBV), are the people that are unaware of their infection, so they do not get check ups and they do not live a healthy life style. Since you know that you have Hep B, you are 'ahead of the game', and less likely to develop any complications (as long as you see your health care provider as recommended, which is yearly, and follow recommended treatment, if ever required) and make any needed lifestyle changes.
Clinical trials for new approaches to treat hepatitis B, such as the use of antiviral drugs in combination are continually underway. So improved methods of defending against the HBV virus will continue to be made available in our life times.
You may never have a change in your viral count.
Do people normally stay a healthy carrier throughout their lives? Theoretically i read it might increase. But how realistic is it that viral count increases
Some people stay healthy while being an HBV carrier throughout their lives.
People that do require treatment for their HBV slow the progression of the liver disease and some even completely get rid of the virus, we know now. But because you are not showing signs of damage, you are not even a candidate for the treatment and may never need it (treatment can have side effects such as flu like symptoms although improvements are being made in the treatment too)
Again, regarding a 'viral count increase' or 'reactivation' of the virus - this is seen most often following alcohol or drug use (or in those with impaired immunity – impaired immunity occurs with HIV, or in those receiving cancer chemotherapy, most commonly). Alcohol and drug abuse increases liver damage and increases the ALT, for example. So you want to prevent this from happening by not drinking alcohol.
Additionally, if you became infected with Hepatitis D (HDV), you would have an increased risk of liver cirrhosis and liver cancer it has been found.
Here are the lifestyle recommendations to keep your immunity strong:
1. Make sure you find a good doctor who is knowledgeable about hepatitis B. A "liver
specialist" is a doctor who specializes in liver disease. They usually have the most current
information about hepatitis B testing, management and treatments.
2. Get regular medical check-ups with your liver specialist or family doctor. This
should be at least once or twice a year, or more if needed. Make sure you see your doctor
on a regular schedule whether you decide to start treatment or not. Ask lots of questions
and get copies of all of your blood tests.
3. Avoid alcohol or strictly limit the amount of alcohol you drink. Medical studies show
that alcohol is very damaging to the liver.
4. Avoid smoking or stop smoking because this is also very harmful to the liver.
5. If you are a pregnant woman, tell your doctor that you have chronic hepatitis B.
Make sure your doctor gives the hepatitis B vaccine and hepatitis B immune globulin
(HBIG) to your newborn baby immediately after delivery. This is very important because
if your newborn is not protected within the first 12 hours of life, there is a 90% chance
your baby will become chronically infected with hepatitis B. With proper treatment, there
is more than a 95% chance your baby will be protected!
6. Eat a healthy, balanced diet. Although there is no specific diet for chronic hepatitis B, it
is always good to eat lots of fresh fruits and vegetables, limit fat and junk foods, and
drink plenty of water.
7. Talk to your doctor before trying any herbs, vitamins, or fad diets. Many herbs and
fad diets can hurt your liver. Be very careful and talk to your doctor first before trying
alternative treatments. Some herbs can even interfere with the medicines prescribed by
your doctor, so you need to be cautious.
8. Have your partner and other loved ones tested and vaccinated for hepatitis B.
9. Avoid spreading your blood to others. Don't share sharp objects like razors, earrings,
toothbrushes, or nail clippers.
11. Avoid illegal street drugs.
12. Get the hepatitis A vaccine to protect yourself from another serious liver infection
If I am on medication due to increased viral load in future does my virus get used to the medicine and starts not responding to medicine?
The treatment that is used to decrease the HBV acts by boosting your immune system. Your immune system kills the virus. So it is not like antibiotic treatment that people can become resistant to or stop responding to (viruses are treated differently that bacterial infections)
I think I answered all your questions, but let me know if there are more!