Hepatitis B: Dietary Concerns and Symptoms Explained

Q: Hepatitis B: Dietary Concerns and Symptoms Explained

Hello, Sir： 1. Eating pork liver in moderation is not harmful, so there is no need to worry. 2. Tonsillitis can be caused by either bacterial or viral infections. It often requires the use of antibiotics, anti-inflammatory medications, and antipyretics. <b

Inquiry about Hepatitis B状况?

Hello doctor, I am a carrier of hepatitis B.
A few years ago, due to dietary reasons, I had elevated liver enzymes during a health check in Taiwan and was found to have some fibrosis in my liver.
After treatment with interferon, my liver enzymes returned to normal.
Subsequently, my doctor prescribed Baraclude, which I have been taking until now.
On February 27th, I ate some pig liver for lunch, and in the afternoon, I started feeling weak.
After researching online, I learned that people with liver issues should avoid foods high in copper, like pig liver.
Could this be related? Since the afternoon of February 27th, I suddenly felt weak, had a fever that night, but no other pain.
On February 28th, I felt nauseous, had full-body weakness, felt very cold, and despite being covered with thick blankets, I was sweating and still felt cold.
I had recurrent fevers and slight throat pain while sleeping.
On the morning of February 29th, I saw a doctor who diagnosed me with tonsillitis, gave me an anti-inflammatory injection, and prescribed antibiotics, pain relievers, and medication for the fluctuating fever.
Over the past few days, my symptoms have improved in terms of weakness, but I still occasionally feel chills and fever.
I have been taking the medication for three days, but one side of my tonsils has become even more swollen.
I don't feel nauseous, but I often feel queasy.
Is tonsillitis caused by a virus or bacteria? Could this be related? Since I am abroad, I am not very familiar with the medical situation here and would like to ask for some answers.
Thank you.
I do not drink alcohol or smoke; are there any dietary restrictions I should follow?

Xiao J, 30~39 year old female. Ask Date: 2016/03/03

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, Sir:
1.
Eating pork liver in moderation is not harmful, so there is no need to worry.

2.
Tonsillitis can be caused by either bacterial or viral infections.
It often requires the use of antibiotics, anti-inflammatory medications, and antipyretics.
There may be some side effects from these medications.
If necessary, you can follow up with an otolaryngologist for further treatment.

3.
After interferon treatment, whether long-term use of Pegasys is needed can be discussed with your primary physician.
Changhua Hospital cares about your health.

Best regards,
Chen Shidian

Reply Date: 2016/03/03

More Info

Hello! Thank you for reaching out with your concerns regarding Hepatitis B and dietary considerations. It sounds like you have been managing your condition quite well, but I understand that recent symptoms have raised some questions for you.

Firstly, regarding your dietary concerns, it is true that individuals with liver issues, including those with Hepatitis B, should be cautious about their intake of certain foods. Foods high in copper, such as liver (including pork liver), can potentially exacerbate liver problems, especially in those with pre-existing liver conditions. The liver plays a crucial role in metabolizing various nutrients, and excessive copper can lead to toxicity, particularly in individuals with liver dysfunction. Therefore, it is advisable to avoid foods that are high in copper if you have liver issues.

Now, concerning your recent symptoms of fatigue, fever, and sore throat, these could be indicative of an infection, such as viral or bacterial tonsillitis. The inflammation of the tonsils can be caused by various pathogens, and it is essential to determine whether it is viral or bacterial, as this will influence treatment. Your doctor has prescribed antibiotics, which are effective against bacterial infections, but if the cause is viral, antibiotics will not be effective.
The connection between your Hepatitis B status and your current symptoms is not direct. However, having a compromised liver can affect your overall immune response, making you more susceptible to infections. Your body may take longer to recover from illnesses due to the liver's role in detoxifying and supporting immune function.
Regarding your dietary restrictions, it is crucial to maintain a balanced diet that supports liver health. Here are some general dietary recommendations for individuals with Hepatitis B:
1. Avoid Alcohol: Alcohol can significantly worsen liver damage and should be completely avoided.

2. Limit Fatty Foods: High-fat foods can put additional strain on the liver. Opt for healthy fats, such as those found in fish, nuts, and olive oil.

3. Increase Fruits and Vegetables: These foods are rich in antioxidants and can help support liver health.

4. Stay Hydrated: Drinking plenty of water is essential for overall health and helps the liver function properly.

5. Moderate Protein Intake: While protein is essential, excessive protein can be hard on the liver. Focus on lean sources of protein, such as chicken, fish, and legumes.

6. Avoid Processed Foods: These often contain unhealthy fats, sugars, and additives that can be detrimental to liver health.

In summary, while your recent symptoms may not be directly related to your Hepatitis B status, they do warrant attention. It is essential to follow up with your healthcare provider to determine the cause of your tonsillitis and to ensure that your liver health remains stable. Additionally, adhering to a liver-friendly diet will help support your overall health. If you have any further questions or concerns, please do not hesitate to reach out. Take care!

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