Patient's question:
Before, my husband was diagnosed with tuberculosis after a chest X-ray showed only shadows, which were considered mild (according to the doctor). In the past two weeks, he has been constantly weak all over and has no appetite. Today, he had liver function tests, and the abnormal results showed Alanine Aminotransferase (ALT) at 458.4, Aspartate Aminotransferase (AST) at 342.4, Gamma-Glutamyl Transferase (GGT) at 69, Total Bilirubin at 32.4, and Direct Bilirubin at 15.8. The doctor has already informed him to stop taking the tuberculosis medication.Doctor's answer:
This situation generally does not require hospitalization because, while medication is discontinued, liver-protecting drugs are added, which usually leads to a quick and complete recovery. At the same time, bed rest is recommended to avoid overexertion and the consumption of greasy foods. After one month, liver function should be rechecked, and efforts should be made to resume anti-tuberculosis treatment as soon as possible to prevent bacterial resistance. The medication can utilize an intermittent dosing regimen, such as alternate-day dosing. Specific medication plans can be discussed with the attending physician. Hepatitis patients can, while understanding the need for symptomatic treatment, use dietary therapy as a complementary treatment in daily life. Proper dietary habits should be maintained in daily meals to avoid stimulating foods.