Patient's question:
I had hepatitis B when I was a child, and later it improved, but I became a hepatitis B carrier. These past few days, my throat and chest have been uncomfortable, feeling like I have phlegm that I can't swallow or spit out. This morning, I coughed hard and noticed blood in my phlegm, and I've been experiencing dry heaves since yesterday. Today, I already feel mentally unwell and have a poor appetite. I went to a small clinic to see a doctor, who said it was acute pharyngitis, but I'm not convinced. I feel that my poor appetite, dry heaves, and low spirits are all symptoms of hepatitis B, so I'm very upset. Am I having a relapse due to reverse psychology? I'm already 22 years old, and I contracted hepatitis B before I was 10.Doctor's answer:
How hepatitis B needs treatment mainly depends on liver function tests and the quantification of hepatitis virus. It is recommended to regularly retest hepatitis virus quantification and liver function. If liver function is significantly abnormal and the hepatitis virus is in a high copy state, liver protection and antiviral treatment are needed. If liver function is generally normal and the hepatitis virus is in a low copy state, no special treatment is required, antiviral drugs can be discontinued, and regular retesting is sufficient. It is recommended to maintain good lifestyle and dietary habits, quit smoking and drinking, follow a low-fat diet, enhance nutrition, and engage in moderate rest and exercise.