Patient's question:
Alanine aminotransferase (ALT) over 200, protein inversion; currently always high fever, occasional abdominal pain. White blood cells are normal; don't know why the temperature can't be lowered? It drops during the day but then gets hot again at night, don't know why.Doctor's answer:
According to your description, hepatitis B, protein inversion, and elevated transaminase levels suggest that you may already have cirrhosis of the liver caused by hepatitis B and be in the decompensated stage. The current recurrence of high fever, normal daytime temperature, and a drop at night accompanied by abdominal pain may indicate spontaneous peritonitis as the second consideration. Additionally, the possibility of tuberculosis infection should be ruled out. It is recommended to seek further medical evaluation in a hospital. Treatment should include liver protection and anti-infection measures. Beyond immediate medical care, patients with hepatitis B should also maintain a proper diet and ensure proper digestion of nutrients in their daily lives. We hope the above information is helpful to you. Thank you!