How to deal with chronic hepatitis B for 18 years?

Patient's question:

Patient: Male, 38 years old. Has had hepatitis B for 18 years. Currently reports fatigue, weight loss, and poor immunity. Hospital test results: HBsAg positive, anti-HBe positive, anti-HBc positive, and pre-S antigen positive. DNA test result: 5.29E+003. HBsAg quantification test: 7816.00. Alanine aminotransferase (ALT): 35.2. Aspartate aminotransferase (AST): 26.9. AIT/AST ratio: 1.31. Alkaline phosphatase (ALP): 131.9. γ-Glutamyl transpeptidase (GGT): 18.00. Total protein: 72.6. Albumin: 45.6. Globulin: 27.00. Albumin/globulin ratio: 1.69. Liver shape and size are normal, with a smooth capsule. The right posterior lobe shows a 5x6 mm echo-free area with thin walls and clear internal sound transmission. The remaining liver shows uniformly arranged echogenic points and blood.

Doctor's answer:

There is no special or curative method to turn hepatitis B negative. It is recommended to check liver function. As long as the liver function test is normal, there is no need to worry. However, it is essential to pay attention to not overexerting oneself, follow a ban on alcohol, and avoid medications harmful to the liver. Drink plenty of water and eat more fruits and vegetables. If you choose to take medication, you can consider taking compound vitamin B and C for liver protection and treatment, but do not overuse medication. Antiviral treatment should only be considered if HBV DNA is severely abnormal. In addition to medication for hepatitis B, patients also need to pay attention to care aspects, such as proper diet and maintaining a cheerful mood. At the same time, patients should also pay attention to choosing a top-tier hospital for treatment to achieve good therapeutic effects.

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