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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Hepatitis B, Low Platelet Levels With Nosebleeds Be Treated?

sir my father is suffering from hepatites b and his condition was smewhat lukewarm from last 4-5 years but now his platelet level came down to 40000. Now he is also having nosebleeds we are very much worried we have taken him to many doctors but no one replies well. sir plz help me what to do.
Wed, 11 Jan 2017
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Gastroenterologist,  's  Response
Hi,

HBV can not be completely treated as HBsAg can NOT be completely eradicated in a patient suffering from HepB. However, "complications" may be prevented if proper medication is taken and proper diet plan is followed. Treatment is advised IF high values of liver enzymes AND high viral load on a PCR.

If HBV DNA count in PCR are not high, Liver enzymes should be monitored regularly while HepB markers maybe checked every 6 to 12 months.further advice:

Advice:

- abstinence from "Alcohol"
- LOW fat diet should be followed
- AVOID junk food and beverages
- Decreased oil consumption (oily food)
- NO red meat
- Green vegetables should be ingested daily
- Use lemon juice (lemonade) once in a day
- Reduce weight if overweight/obese

Hope to answer your concern. Let me know if I can assist you further.

Wish you good and sound health.

Regards,
Dr. Tayyab Malik
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How Can Hepatitis B, Low Platelet Levels With Nosebleeds Be Treated?

Hi, HBV can not be completely treated as HBsAg can NOT be completely eradicated in a patient suffering from HepB. However, complications may be prevented if proper medication is taken and proper diet plan is followed. Treatment is advised IF high values of liver enzymes AND high viral load on a PCR. If HBV DNA count in PCR are not high, Liver enzymes should be monitored regularly while HepB markers maybe checked every 6 to 12 months.further advice: Advice: - abstinence from Alcohol - LOW fat diet should be followed - AVOID junk food and beverages - Decreased oil consumption (oily food) - NO red meat - Green vegetables should be ingested daily - Use lemon juice (lemonade) once in a day - Reduce weight if overweight/obese Hope to answer your concern. Let me know if I can assist you further. Wish you good and sound health. Regards, Dr. Tayyab Malik