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Chronic hepatitis b - need advise on treatment

Dear forum members, i was detected with chronic hepatitis b in april 2012 during a minor surgery. At that time my Hbsag quant was 237iU/ml. Alt was 60. Liver ultrasound normal. No pain in stomach and no yellowish urine. In december 2012, i had the test again, hbsag quant was 1572iU/ml. Alt was 42. Fibroscan was normal. liver ultrasound showed fat liver and coarse echotexture. Doctor has not advised any medication to me as of now. But i constantly feel a pain on right side of my stomach, it feels like a swelling. Urine is slightly yellowish all the time. Doctor is saying that it is due to gas and fat liver but i am feeling this symptoms for first time in my life and really worried if my treatment is on right path. During this period i had alcohol only 4-5 times, but recently when i had a small amount of alcohol, i had a severe irritation on right side of stomach next day. I am really worried, please advise.
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Avatar universal
You should do ultrasound to check the pain reason, normally HBV is not associated with pain until the last stage when your liver does not function.
I do not think that it is the case because even if your doctor is not the biggest expert in HBV he would have noticed that you have serious liver problem.
The pain or discomfort is most likely comming form gal bladder and you will see it on ultrasound. also you need to do fibroscan to check if you have fibrosis.
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Avatar universal
thx man. what might be the reason for problem in gall blader if there is any? how to detect it?
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Avatar universal
Blood tests
25(OH)D for vit D

And blood tests for othe vits..
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how do i chk for lack of vitamin D, E & B. thanks again for  ur invaluable advice.
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Avatar universal
The fact that you have been always overweight means nothing, we have to pay in the end anyway.
Hbv changes metabolism in the liver, we have oxidative stress problems, high cholesterol sometimes, lack of vitamins D, E, B, Probably fatty liver accentuated due to hep b.

http://www.advanceliferesearch.com/ - full package

And check hbv dna


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Avatar universal
and what can be the reason if its due to gall bladder? how to treat it?
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Avatar universal
thnks a lot mate. really helpful. i will try to get my weight in order but i have always been this much overweight so why is it now i am feeling these symptoms? is fat liver getting accentuated due to hep b?

Can you suggest few life research food suppliments which might b useful with daily exercise?

Also, do you think i should get tested for colitis? my pain and irritation is just below the rib cage on right side of stomach.

many thx.
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