Hello and welcome to HCM
I,ll answer your queries in chronological order:
1. It has been a month since you got diagnosed with acute hepatitis
B. It will be good if you take rest and avoid strenuous activities. Start with your activities slowly as hepatitis is associated with weakness. Light food will be good even after a month of diagnosis. Fatty and spicy foods put a strain on the liver
so best avoid them. Stick to light freshly prepared food, plenty of fluids in the form of water, fresh fruit juices and soups. You can go to work from next month but if the work involves stress
, physical or mental best avoid for few days more.
2. The medications prescribed are basically energy providing dietary supplements and preparations aiding in digestion.
3. There is decrease in level of bilirubin
ans liver enzymes (ALT
and AST). This decrease signifies an improvement. A relapse or recurrence can cause an increase of both bilirubin and liver enzymes.
4. Prognosis is good as there is response to treatment given.
5. You need to get the tests repeated six months after the first test. This is to rule out chronic infection. A substantial number of cases of hepatitis B go to chronicity so it is important to rule out chronic hepatitis
6. On the basis of the serum markers- HBsAg and anti HBc Ig M, it is an acute infection.
7. AST and ALT levels will come back to normal over 4-12 weeks.
I hope I have answered all your concerns.
Please add your review if you are satisfied with the answer.
Thanks and take care
Dr Shailja P Wahal