Is it more serious to have a small three positive or a big three positive?

Patient's question:

My husband works as a business manager at his company, and his work is usually quite busy, so he doesn't like to go to the hospital even when he feels a bit uncomfortable. Lately, he has been saying that he lacks energy, has dizziness, and doesn't want to eat. He feels nauseous when he sees greasy food, and he has also lost weight. I forced him to go to the hospital for a check-up, and they said he has hepatitis B, small positive. Is small positive hepatitis B more serious or big positive hepatitis B more serious?

Doctor's answer:

Relatively speaking, hepatitis B with a large positive index (HBeAg positive) is more infectious than hepatitis B with a small positive index (HBeAg negative). However, the presence of hepatitis B (whether large or small positive index) only reflects the status of the hepatitis virus in the body and cannot be used to predict the severity of the condition. Regardless of whether it is a large or small positive index, attention should be increased towards the disease, regular follow-up tests should be conducted, and active and standardized treatment should be pursued to minimize the severity. However, it is important to avoid seeking treatment from unqualified practitioners to prevent further deterioration of the condition and to avoid missing the opportunity for timely treatment. Liver disease is difficult to alleviate. Friends with liver disease should maintain a positive mindset and face it with optimism, as only this can enhance their confidence in combating liver disease.

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