More than 30 years of minor positive hepatitis B, 18 years of normal liver function, is it treatable?

Patient's question:

For over 30 years, I have had a small positive HBsAg. My liver function was normal in 2018. In January 2019, the virus count was 7.5410^5, and the ultrasound was normal. Before taking enzyme inhibitors, my ALT was 130. After taking the medication for half a month, it increased to 289. My AST also rose from 65 to 106. I did the health check myself about half a month ago, which might have triggered the elevated transaminase levels. Please don’t just say to have a further detailed check; please specify what specific tests should be done.

Doctor's answer:

You need to be based on the body being a hepatitis B carrier, and the body has reappeared with liver inflammation and liver function interference, it is necessary for the doctor to conduct a detailed examination through tests. After the results, it will be considered how to protect liver function or use antiviral medication for treatment. When the body is infected with the hepatitis B virus, based on your liver function, it is necessary to conduct further comprehensive physical examinations to consider whether to use antiviral medication or liver-protecting medication for treatment. There are many treatment methods for liver disease, but since the patient's condition is different, the treatment methods used will also be different. Therefore, patients need to have timely and thorough examination and diagnosis to be able to treat the symptoms accordingly.

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