Thanks for contacting HCM with your health concern
1. As you are a patient of hepatitis B
, and found no improvement with oral tablets, it seem possible to be a case of chronic hepatitis
2. and although prognosis is not bad but is worse with increasing age. [indicated by high and fluctuating level of glucose
PS. patient with chronic hepatitis need specific treatment with Interferons. [consult with Hepatologist.
3. According to Ayurveda the condition falls under 'Raktavaha Srotovikara', thus hepato protective drug: bhumyamalaki [phyllanthus niruri] is good for shaman [palliative] purpose
PS. phyllanthus niruri, helps prevent replication of HBV
[hepatitis B virus] thereby preventing viraemia.
Other single Drug which you can ask is/are: Manjistha, katuki, bhringraja, Koshaphala, Kushtha [Liv 52-Livomyn-Cirrholiv: has all the said ingredients in it and thus also acts as Hepato protective], thus you may use phyllanthus niruri as single drug [in powder form] and Liv 52 in syrup form .
. check with liver
enzymes [SGOT/SGPT/Alkaline Phospahatase] and Serum Bilirubin level monthly to know about the health status of liver
. Complete bed rest
is very essential, till bilirubin is less than 1.5 mg%
. boiled water for all at home.
. personal hygiene and cleanliness
. avoid close physical contact, avoid alcohol,sharing combs/razors.
. fat free diet, high carbohydrates, no oil/ghee and fried foods
. plenty of sweets, sugar, sugarcane juice.
. all hepatotoxic drugs should be stopped [ask for exhaustive list from your doctor]
. Regular surveillance on clinical parameters as well as liver function tests.
PS. Vitamin K may be given for 3 consecutive days.
. Take: old brown rice, moong/masoor/arhar dal, raw papaya/ banana, bitter gourd,potato,amla, pomegranate,black grapes, apple, mango, haritaki
,butter milk,guduchi,orange juice,bottle gourd,radish,rest
Avoid: deep fried/oily food,peas,urad dal,mustard oil,spices,hinga,white sesame seeds,heavy food, day time sleeping, exercise,excessive anger/drinking water, chick pea flour.