Patient's question:
Hepatitis B with a high viral load, back then the HBV DNA was 10^8. Liver function was abnormal, and it remained so until the first half of 2009. In the second half of 2009, liver function returned to normal. In December 2009, the HBV DNA test result was 3.14 10^3. The hepatitis B serology was positive for anti-HBs and HBeAg, which is known as the "minor double positive." Last week, I had another full set of tests done. The hepatitis B serology was still positive for anti-HBs and HBeAg, the HBV DNA was above the detection limit, but liver function was normal with AST 19, ALT 16, and an AST/ALT ratio of 1.2, which is slightly elevated.What kind of help I need: Could you please help me assess whether my current condition is improving or worsening? Is there a possibility of achieving complete seroconversion?
Doctor's answer:
From the situation you described, you used to have chronic hepatitis B with high viral load. But the latest test results are very good—the DNA virus has returned to normal, and your liver function is also normal. The HBsAg test is positive, which means you are now just a hepatitis B carrier. In this case, treatment is not necessary.You should pay more attention to self-care in daily life, maintain a proper lifestyle and dietary habits, and keep a positive mood to avoid overexertion. Engaging in appropriate physical exercise can help strengthen your body. With these measures, hepatitis B will definitely not worsen significantly. Please rest assured—your condition is still very good.