Patient's question:
Prior check of liver function is normal, but exactly during the civil servant health check, it was found that the AST (aspartate aminotransferase) level slightly decreased. Is such a condition serious?Doctor's answer:
The immune tolerance period for hepatitis B is not static. The virus has a remission phase in the body, and it can also reactivate the body's immune tolerance, leading to liver damage and abnormal liver function. At this point, antiviral treatment is implemented for patients with hepatitis B "big three positive." However, statistics show that the vast majority of asymptomatic hepatitis B virus carriers and asymptomatic "big three positive" and "small three positive" hepatitis B patients in China. A small portion will develop cirrhosis, and a small portion will progress to severe hepatitis. For this reason, and because leaving the liver function normal or not treating during the immune tolerance period leads to a paradox.