Patient's question:
Doctor, I am 53 years old and have chronic hepatitis B with high viral load. I am currently taking three medications: 1) Entecavir, 2) Compound Soft Liver Soft Liver Tablets, and 3) Silibinin Tablets. I have been taking these three medications for three years. In the first half of the year, I started switching to 1) Entecavir, 2) Nine Herbs Liver Comfort Capsules, and 3) Polyphosphatidylcholine. Recently, an examination revealed that my red blood cells, white blood cells, and platelets are all low, while total bilirubin and indirect bilirubin are high. Liver stiffness is 10.7, and other tests are normal. (Details below)Hello, 1) Is this serious? Do I need treatment and medication? What medications should I take? 2) If medication is not required, what should I pay attention to in daily life, and how should I maintain my health? Please guide me, thank you.
Doctor's answer:
Based on the test results you mentioned, the white blood cell count is indeed very low. In this case, medication to increase white blood cells should be used. You can try using orotates and vitamin B4 and carefully monitor for some improvement over a period of time. If there is no improvement, it is recommended to consult a hematologist. In addition to treating hepatitis B, patients are advised to pay attention to their diet in daily life and maintain a cheerful mood at all times to enhance their physical condition and slow down the recovery process.