Patient's question:
2 years ago, it was detected that I had a minor positive for hepatitis B, but my liver function was normal. The doctor said there was no need for treatment. Recently, I've been feeling a bit uncomfortable. Is there a need for treatment for asymptomatic minor positive hepatitis B?Doctor's answer:
Patients with "minor triple positive" should first undergo liver function tests, detect the level of HBV-DNA in the blood, and check for pre-C gene mutations. Additionally, a necessary liver biopsy should be performed to accurately determine the appropriate treatment measures for this type of "minor triple positive." Generally, if liver function is normal and HBV-DNA is negative, treatment is not required, and annual follow-up tests are recommended. If liver function is abnormal and HBV-DNA is positive, treatment is necessary. Faced with the harm of liver disease, we should promptly implement symptomatic treatment principles and avoid delaying medical consultation. If liver disease does not improve with treatment, the treatment plan should be adjusted in a timely manner.