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Question
Hello doctor,
I have been infected with hepatitis B for a long time, recently had jaundice. I went to the doctor to see the doctor with the conclusion: ultrasound elastography and cirrhosis of the liver. I have pain in the joints, fatigue, cough, CT-scan, the doctor concluded that the portal vein is 16mm in diameter. I want to ask the doctor how to treat cirrhosis in people with chronic hepatitis B? Thank you doctor!
Anonymous customer
Reply
Hello,
To the question “How is cirrhosis of the liver in chronic hepatitis B treated?” , the doctor would like to answer as follows:
Your question consists of two issues:
The first problem is hepatitis B virus:
As you describe, you have had hepatitis B for a long time, so the disease was diagnosed diagnosed as a case of chronic hepatitis B. The usual way would be to have exacerbations if there are agents such as alcohol, infections.. or progress silently and then cause cirrhosis, cancer and death. In addition, there are cases where healthy people carry the infection and have no clinical symptoms at all. So, with hepatitis B you need to see if it is active, or not active, what is the viral load, is it eligible for antiretroviral therapy and how it is treated..
The second problem is cirrhosis: There are many causes to cirrhosis, hepatitis B is just one of the common causes, in addition, it can also be caused by alcohol, toxins, autoimmune and other viruses. ..
Liver elastography (Fibrioscan) is a common non-invasive method that can evaluate cirrhosis divided into 05 levels from F0 - F4.
In the question, you mentioned portal vein dilation via CT-scan; However, you still need esophagogastroduodenoscopy to evaluate for esophageal varices and aneurysms because one of the dangerous complications of cirrhosis is the rupture of these veins and can be life-threatening. network.
Cirrhosis is also divided into two types, compensated and decompensated, based on many factors, the most commonly used classification is the Child Pugh scale - divided into 15 points according to severity.
The information you give is not enough for a comprehensive assessment, you should go to the doctor soon to confirm the cause of cirrhosis, the extent and stage and the doctor will have a specific treatment plan for you. Please.
If you still have questions about cirrhosis of the liver in people with chronic hepatitis B, you can go to a hospital under Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
Answered by Specialist Doctor I Dong Xuan Ha - Department of Medical Examination and Internal Medicine - Vinmec Ha Long International Hospital
