Patient's question:
My mother has hepatitis B with high viral load (HBeAg positive). Two days ago, I got tested and my ALT is 45, viral load is 180×10^8, and liver function is normal. Do I need a liver biopsy? What should I do about hepatitis B with high viral load?Doctor's answer:
The elevated ALT level of 45 is not significantly above the normal range and does not require a liver biopsy. A B examination is sufficient. Additionally, liver biopsies have certain side effects and are generally not recommended for patients.The viral load of 180×10^8 indicates the presence of 180×10^8 viruses in the body, with highly active viral copies. This results in continuous damage to liver cells, leading to liver injury, abnormal liver function, and further progression of the condition. Immediate treatment is necessary.
The progression of hepatitis B typically follows the stages: hepatitis B → cirrhosis → liver cancer. The current condition is at the most treatable stage. With appropriate treatment, hepatitis B can be cured. Due to limited space, for more questions related to hepatitis B, you can communicate with me directly online for more detailed guidance on your condition.