What should I do if the hepatitis B virus load is high?

Patient's question:

Originally, there was a family history of hereditary hepatitis B with a small positive result, which was passed down through generations. Last winter, liver function tests showed an ALT level of 745 and a viral load of 1.08 x 10^8. After hospitalization and treatment, the ALT level dropped to over 200. Interferon was administered for three months, which was stopped in March. At the time of stopping interferon, liver function was normal, but the viral load was over 600, peaking at 1,400 in the middle, and now it is over 5,000. Currently, liver function is normal, but the viral load is increasing. What should be done?

Doctor's answer:

I'm glad I can help you. Do you have any discomfort symptoms regularly? You have now been off interferon for over eight months. Although the viral load is increasing, your liver function is normal. If the ultrasound also shows no problems and you are not taking any medication at the moment, you can first focus on careful observation, but you should monitor liver function data frequently to detect any very active viral replication that may lead to hepatitis early. The daily treatment for hepatitis B patients mainly involves symptomatic treatment. Patients can take many oral medications, supplement with various vitamins, and pay attention to their diet by eating light, soft, and easily digestible foods. We hope that hepatitis B patients can recover as soon as possible! Thank you!

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