Patient's question:
I was originally an HBV carrier, but for some reason, I became an HBeAg-positive chronic hepatitis B patient (). I don't have any symptoms and everything is normal. The liver function tests are also normal, except for the + sign at 135 (), which has been troubling me.Doctor's answer:
Hello! Your condition is chronic hepatitis B with high viral load (HBeAg positive), and you are a hepatitis B carrier. Due to the lack of proper treatment, it has been lingering without improvement. Therefore, it is essential to seek early and correct treatment to achieve rapid recovery, as prolonged untreated hepatitis B can lead to further deterioration or transmission to others.Chronic hepatitis B often progresses along the path of "hepatitis B → cirrhosis → liver cancer," which is commonly referred to as the "third stage of hepatitis B." The reason why hepatitis B is difficult to self-recover from is that the vast majority of hepatitis B patients have immune tolerance, meaning they do not produce an automatic immune response to the hepatitis B virus (HBV). As a result, hepatitis B becomes persistent, and general medications struggle to it.