Patient's question:
I have chronic hepatitis B with a high viral load (10^8). In the past, I was ignorant about hepatitis B. My friend told me that lamivudine is very effective, so I bought it from a pharmacy and took it for seven months. Due to financial issues, I had to stop taking the medication, and my viral load rebounded to 10^8. I then took lamivudine and adefovir for two months and then stopped lamivudine, taking only adefovir for eight months. After that, my DNA test results were below 100. It has been two years since my diagnosis, and I have had eight DNA tests, all of which showed results below 100, indicating a transition from high-positive hepatitis B () to low-positive hepatitis B (). My liver enzymes fluctuate, with ALT levels often ranging between 35-40, while the rest of my liver function tests are normal. However, my face is very yellow and red, and my eyelids are severely puffy. When I go out, people look at me with fear.Doctor's answer:
This patient is a hepatitis B patient. First, the antiviral drug treatment they initially used was incorrect. According to current hepatitis B treatment guidelines, hepatitis B patients must have liver function damage above 80 before they can use antiviral drug treatment. However, since the patient has already been using it, they cannot stop the medication easily. They must wait for more than one year after achieving the (HBeAg negative) status before considering stopping the medication.