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When to take medicine for chronic hepatitis B?

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Ask
Hello doctor! I have chronic hepatitis b, measured 10^8, liver enzymes are normal. The doctor said I don't need any medicine. So the doctor asked me, is that threshold high, does it affect the liver and when do I need to take medicine? Is hepatitis B curable? I look forward to consulting a doctor. Thank you doctor.
Truong Phuoc Thuan
Reply
Hello! Although liver enzymes are normal, a high level of Hepatitis B virus (>10^4) indicates that the virus is increasing the risk of cirrhosis. Therefore, you should have an elastography ultrasound or liver Fibroscan to evaluate the degree of liver fibrosis. Simultaneously do HBeAg test, from which to decide whether to take anti-hepatitis B virus or not?
Thank you for sending your question to Vinmec Health System. Best regards!
Answered by Doctor Phan Dinh Thuy Tien - General Internal Medicine - Department of Examination & Internal Medicine - Vinmec Nha Trang International General Hospital

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