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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.
Best Answer
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
I do not think You could develop any serious liver problem since december. Your pain is probably because of gal bladder.

You have a lot of extra weight with 170 cm you should be 65 kilo max.

With hbv you should seek to have a very good liver.

Keep healthy lifestyle and good diet.
No processed food, meet almost never, mainly fish and veg all organic. Alcohol is not good.

30 min of aerobic exersize a day.

If you can afford advance life research food suplements would be good to fight fatty liver, but it all useless if you do not hold your diet.



Helpful - 0
Avatar universal
i had alcohol for only 1 time in 2013, tht too only 2-3 glass....in last 8 months i wud have drank only on 9-10 occassions.
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Avatar universal
i had a bit of alcohol in december but after knowing abt hep b i have refrained a lot from drinking alcohol...may b 2-3 glass on weekend...my overweight by 7kg only...my weight is 77kg and height is 170cm.
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Do you know why you have fatty liver? Are you overweight,  alcohol abuser?
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Avatar universal
in december. at that time i was having this problem already bt its more irritating now
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Avatar universal
When did you do ultrasound and fibroscan?
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