Urgent question!! Hepatitis B~~
Hello, Dr.
Hsu.
I was diagnosed with hepatitis B about a year or two ago.
Since then, I have been regularly getting blood tests and taking medication (I also take a multivitamin).
However, my test results have continued to rise each time.
Two days ago, I went to Keelung Municipal Hospital for blood tests and an abdominal ultrasound.
The doctor advised me to rest well.
Am I beyond help? My work hours are long and exhausting, and I am under a lot of stress.
Is my liver damaged? If it is damaged, will it ever recover? The doctor prescribed me a medication called Silycon to take twice a day.
What is this medication? What should I pay attention to in my daily life? Recently, I have been drinking clam essence available on the market—does it help? Besides resting (I need to work to earn money) and taking the liver medication prescribed by the doctor, do I need to supplement with anything else? I heard from friends that the liver medication prescribed by the doctor is just a placebo and doesn't really help—is that true? I want to live, but I don't know what to do.
Thank you!
Xiao Yu Er, 30~39 year old female. Ask Date: 2004/10/14
Dr. Xu Jinchuan reply Gastroenterology and Hepatology
Hello! The letter only mentioned that you have hepatitis B but did not specify your current condition.
Which specific test results are you referring to that have been rising? The doctor's advice to rest more does not necessarily indicate that your condition is serious; you may be feeling overly anxious.
Long working hours do not automatically lead to adverse effects on the liver, but resting more allows the liver ample time to recuperate.
The medication prescribed by your doctor is a liver-protective supplement that can provide nutrients to liver cells.
I suggest you try not to worry too much, follow your doctor's recommendations, maintain a regular lifestyle, and rest adequately.
Avoid taking medications casually; the efficacy of clam extract has not been confirmed, and its use is not encouraged.
Please make sure to return to the hospital for follow-up appointments as scheduled.
Reply Date: 2004/10/14
More Info
Hepatitis B is a serious viral infection that affects the liver and can lead to chronic liver disease, cirrhosis, and even liver cancer. It’s understandable to feel anxious about your diagnosis, especially when your liver function tests are showing elevated levels. However, it’s important to remember that many people with Hepatitis B can manage their condition effectively with the right treatment and lifestyle adjustments.
First, let’s address your concerns about the progression of your disease and the effectiveness of your treatment. Elevated liver enzymes (GOT and GPT) indicate liver inflammation, which can be due to the virus's activity. The medication you mentioned, Silycon, is likely a hepatoprotective agent that helps support liver function and may provide some nutritional benefits to liver cells. However, it is essential to follow your doctor's advice regarding medication and not to self-medicate with over-the-counter supplements or herbal remedies without consulting your healthcare provider.
Regarding your lifestyle, managing stress is crucial. Chronic stress can negatively impact your overall health and may exacerbate liver issues. If your job is demanding, consider finding ways to reduce stress, such as practicing mindfulness, engaging in regular physical activity, or seeking support from friends or professionals. Adequate rest is also vital; your liver needs time to recover, so prioritize sleep and relaxation.
In terms of diet, while there is no specific food that can cure Hepatitis B, a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support liver health. Avoid alcohol, as it can further damage your liver. It’s also wise to stay away from high-fat and processed foods, which can contribute to liver stress. Hydration is essential, so drink plenty of water.
You mentioned consuming clam essence, which is marketed as a health supplement. While some people believe in its benefits, there is no scientific evidence to support its effectiveness in treating liver diseases. It’s best to focus on proven treatments and a healthy lifestyle rather than relying on unverified supplements.
As for your concerns about the effectiveness of your prescribed medication, it’s important to have open communication with your healthcare provider. If you feel that your treatment isn’t working, discuss your concerns with your doctor. They may consider adjusting your medication or exploring other treatment options, such as antiviral therapy, which can help control the virus and reduce liver inflammation.
Regular follow-up appointments and monitoring of your liver function are crucial. Your doctor will likely recommend routine blood tests and imaging studies to assess your liver's condition and the effectiveness of your treatment. If your liver function continues to decline, more aggressive interventions may be necessary, but many patients with Hepatitis B can live healthy lives with proper management.
In summary, while a diagnosis of Hepatitis B can be daunting, it’s essential to stay informed, adhere to your treatment plan, and make lifestyle changes that support your liver health. Focus on stress management, a balanced diet, and regular medical follow-ups. If you have any doubts or concerns about your treatment, don’t hesitate to reach out to your healthcare provider for guidance. You are not alone in this journey, and with the right support and care, you can manage your condition effectively.
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