Patient's question:
I checked for hepatitis B a few days ago and found that I have a large positive hepatitis B. Alanine aminotransferase (ALT) was 5240-40 U/L, aspartate aminotransferase (AST) was 162.0-40 U/L. Alkaline phosphatase was 199.50-136 U/L. Glutamyl transaminase (GPT) was 83.0-50 U/L. The test result for hepatitis B virus (HBV-DNA) was 1.77x10^7 copies/ml. How should large positive hepatitis B be treated?Doctor's answer:
Considering it may be chronic hepatitis B, the liver function is currently significantly abnormal, and the viral load should be further controlled and treated. It is recommended to undergo a liver ultrasound and consider treatments such as disodium adenosine glycyrrhizinate, reduced glutathione, and Salvia miltiorrhiza for liver protection. Regular liver function tests should be conducted to maintain normal liver function. If the liver function does not fully recover optimally, interferon or entecavir can be used for antiviral treatment. The condition of hepatitis B is very serious, and it is advised that the patient start treatment immediately, with the hope that the patient can follow the doctor's advice for symptomatic treatment. At the same time, attention should be paid to self-care, including proper diet, to avoid worsening the condition.