Patient's question:
I have had chronic hepatitis B for over 10 years. In May, I had an ultrasound examination. The report is as follows: The size and shape of the liver were normal. The capsule was thickened and not smooth. The liver parenchymal echoes were coarse and uneven. The vascular texture was unclear. The diameter of the portal vein was about 11.5 mm. The diameter of the common bile duct was about 4 mm. There was no dilation of the intrahepatic and extrahepatic bile ducts. Other findings were normal. Conclusion: Diffuse liver disease.Doctor's answer:
Your condition is early-stage cirrhosis caused by chronic hepatitis B, and it should be treated to prevent progression. It is recommended to check liver function, HBV-DNA quantification, and the "two pairs and a half" (HBsAg, anti-HBs, HBeAg, anti-HBe, anti-HBc). If liver function is abnormal, standard liver-protecting treatment should be administered, such as Ganlixin and reduced glutathione. If HBV-DNA is positive, entecavir tablets should be used for antiviral treatment, while Biejia Ruangan Jiaonang should be used for anti-fibrosis treatment. Avoid greasy foods, smoking, and alcohol. Patients facing liver disease challenges should actively adopt treatment measures and not avoid seeking medical attention. If liver disease does not improve with treatment, it is important to switch to a new treatment plan in a timely manner.