Patient's question:
Health check report from the company raised doubts about my having chronic hepatitis B. I often experience recurrent fatigue, dizziness, poor appetite, yellow urine, insomnia, and frequent dreams. The company wants to fire me, saying this disease is contagious. How should chronic hepatitis B be treated effectively?Doctor's answer:
The treatment for patients with hepatitis B with a high viral load involves two main approaches:First, it is important to lower the patient's own immune system and reduce the body's ability to fight the virus. When the alanine aminotransferase (ALT) level exceeds 80 or liver function abnormalities persist, it indicates that the body's autoimmune mechanism has been activated. In such cases, antiviral medications are more effective. The condition will only stabilize after the DNA becomes negative. This disease is difficult to cure completely.
Second, it is necessary to adopt liver-protecting treatment to maintain normal liver function and prevent liver damage.
For patients with a high viral load, daily treatment primarily focuses on symptomatic relief. They can take oral medications and supplement with vitamins, while also paying attention to self-care, maintaining a proper diet, and avoiding cold or harsh foods.