How is chronic hepatitis B treated?

Patient's question:

After having another liver function test, the doctor said it was not necessary for treatment, but because I couldn't rest assured, I took medication myself. Two months later, another liver function test showed that both ALT and AST levels dropped to 20-30. I then stopped the medication myself, not knowing that suddenly stopping biphenyl dimethyl would cause a rebound effect. Two months later, a follow-up test revealed ALT at 113 and AST at 67, with no abnormalities found on ultrasound. The HBV DNA test results have not yet been released.

Doctor's answer:

You currently have abnormal liver function, and your liver is at risk. Whether you need antiviral treatment depends on the results of your viral DNA test. It is not recommended to use enzyme-lowering drugs, and it is best to discontinue them. If your viral copies are very active, due to your youth, it is still advisable to use interferon for antiviral treatment. If you use nucleoside drugs, you can combine lamivudine and adefovir, which may increase the risk of drug resistance. The "big three positive" condition causes significant interference to patients. Once you notice your symptoms, it is important to seek medical attention promptly. At the same time, pay close attention to dietary issues, with a focus on light and simple foods. We hope that "big three positive" patients can receive professional treatment.

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