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Is Chronic Hep B Curable? Safe To Drink Alcohol?

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Posted on Mon, 24 Dec 2012
Question: Hi . I have a chronic hep b right now.. Can I cure it??And can I drink alochol in hep b ???
doctor
Answered by Dr. Abhijit Deshmukh (34 minutes later)
Hi XXXXXXX

Well chronic hepatitis B is difficult to cure.

There three import scenarios in hepatitis B

1) Those who need no treatment but just regular blood check ups
They usually have normal liver enzyme (SGOT /SGPT) and no evidence of liver damage. (You are likely to be in this situation)

2) Those who have high enzymes and low viral load can be considered for interferon which can cure HBsAG to the tune of 4-6 % per year after treatment.

3) High enzymes or intermittently rising enzymes but ā€˜eā€™ antigen negative low or high viral load can be treated with tablets but the clearance of HBs Ag is very low.

I think if your gastroenterologist has not advised treatment, likely you are in first category.
Just keep a good follow up which is very important.

Alcohol is best to be avoided in patients with hepatitis B.

Hope this answers your query.
Please do reply in case of any further questions.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Abhijit Deshmukh (1 hour later)
Can I live longer life in hep b ?
doctor
Answered by Dr. Abhijit Deshmukh (13 hours later)
hi,
thank you for the query.
Definitely you can lead an near normal life with hepatitis B if your liver functions are normal and you are on a regular follow up with a gastroenterologist
Hope this answers your query.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Abhijit Deshmukh

Gastroenterologist

Practicing since :2001

Answered : 597 Questions

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Is Chronic Hep B Curable? Safe To Drink Alcohol?

Hi XXXXXXX

Well chronic hepatitis B is difficult to cure.

There three import scenarios in hepatitis B

1) Those who need no treatment but just regular blood check ups
They usually have normal liver enzyme (SGOT /SGPT) and no evidence of liver damage. (You are likely to be in this situation)

2) Those who have high enzymes and low viral load can be considered for interferon which can cure HBsAG to the tune of 4-6 % per year after treatment.

3) High enzymes or intermittently rising enzymes but ā€˜eā€™ antigen negative low or high viral load can be treated with tablets but the clearance of HBs Ag is very low.

I think if your gastroenterologist has not advised treatment, likely you are in first category.
Just keep a good follow up which is very important.

Alcohol is best to be avoided in patients with hepatitis B.

Hope this answers your query.
Please do reply in case of any further questions.