Thank you very much for the valuable information Ariz.
As per the reports you have mentioned, you are positive for Hepatitis B infection. However this is a screening test (HBsAG) and we need to have a number of other tests as well to determine whether this needs treatment or not. These include viral load, ALT levels, and HBeAG.
Not all the people infected from hepatitis B require treatment, rather a vast majority of patients clear the infection from their body spontaneously.
In remaining patients (who do not clear off the virus) the above mentioned tests determine if treatment is required or not, because in some patients the virus may remain inside the body with out affecting your liver and for that no treatment is required. Only the patients who suffer liver damage due to Hepatitis B virus (determined by high ALT levels and liver biopsy) need treatment for this, which is very effective these days (in the form of oral drugs) and provide excellent results.
So for hepatitis B you need further evaluation by a Hepatologist or Gastroenterologist.
As far as the HSV 1 and HSV 2 results are concerned, these tests are done for Herpes Simplex virus, which has two types (1 & 2). These herpes virus give you genital as well as oral lesions (like the one you have).
The test results (positive IgG for both HSV1 & 2) means you have been infected with both of these viruses in the past (at least more than 2-3 months ago or more than that).
IgM if turns out to be positive means a recent infection or a recurrent infection by the Herpes virus.
The herpes virus remains in your body once you are infected and can give you lesions in the genitals as well as around mouth any time (especially during stress, concurrent illness, poor immunity). These attacks of herpes are treated with antiviral drugs, which reduce the pain as well as severity of the attack.
Once an attack is treated, you no longer require the drugs for herpes until the next attack (which may take months or years to happen again).
If some one gets frequent attacks of herpes lesions, then the doctors prescribe drugs against the herpes virus for a long duration to reduce both the frequency as well as severity of the herpes attacks.
You should discuss this with your treating doctor to chalk out further management plan that suits best to your needs and visit the hepatologist as well for hepatitis B evaluation in detail.
I would have been worried too if I were at your place, but let me reassure you that this is not something very serious or life threatening. It is a treatable condition and carries a good prognosis with appropriate management.
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