What are the symptoms of having hepatitis B e antigen positive?

Patient's question:

I had a thorough check-up at the hospital and was diagnosed with "minor hepatitis B." I personally don't feel any discomfort, I can eat normally, but I often get dizzy. Will untreated minor hepatitis B lead to other causes? Does minor hepatitis B cause dizziness?

Doctor's answer:

Hepatitis B surface antigen (HBsAg) positive with negative HBeAg (often referred to as "small three positive") indicates that the virus is in a dormant state or at a low copy number, with reduced transmissibility. It may potentially transform into "big three positive." Small three positive does not cause dizziness. Regular follow-up of liver function and viral load is necessary for small three positive. If it transforms into big three positive and is left untreated for a long time, it may lead to liver fibrosis and then progress to cirrhosis, potentially resulting in liver cancer.
In addition to active treatment, patients with liver disease should also pay attention to maintaining a positive mood, reducing psychological stress, and eliminating negative emotions such as anxiety and tension in daily life. A good mood is highly beneficial for the complete recovery of the disease.

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