Hepatitis B

I am sick with liver (B) and the germ is not active. Please help me if there is a cure

And what are the things that can irritate him?

2- I have a virus

Liver B is dormant, and I currently have cholesterol in the blood. Praise be to God, my condition is normal, but I feel punctures in the right side from under the last rib in the chest sometimes.. Is there a cure for hepatitis B virus?

Knowing that I am a non-smoker, but if I travel, I drink alcohol without smoke, and what? Doctor, do I avoid the treatment that you advise me, Doctor?

Muhammad from Al-Kharj

To answer both questions,

Hepatitis B infection must be confirmed, and then the virus activity must be confirmed (as the dormant virus without any effects does not need antiviral treatment) and when this is known, there are some additional accurate tests that must be done by specialists in digestive diseases, and then a description of The necessary treatment steps, knowing that the results of treatment are good in terms of the ability to eliminate the virus or weaken it, and this is necessary to stop the complications of the virus on the functions of the liver before it reaches the stage of cirrhosis.

Among the reasons that may increase the activity of the virus, is the patient’s infection with any disease or taking any medication that reduces the body’s immunity, and there are some factors that have a negative impact on the treatment of the virus, including obesity, high cholesterol (with the deposition of fat in the liver) and drinking alcohol.

There is no relationship, as far as I know, between hepatitis B virus and stomach germs.

IBS

Abu Turki, 73 years old, suffers from indigestion for several years. He mentioned that the doctors diagnosed his condition with Irritable Bowel Syndrome, but he still suffers from it with many medications. What is the solution?

One of the well-known symptoms of irritable bowel disease is pain or discomfort in the abdomen, usually for a period of months or years, accompanied by bouts of constipation or diarrhea, and the two may be mutual, and in some cases, the patient feels annoying bloating in the abdomen, and IBS sufferers often suffer from Some psychological problems such as stress, anxiety and depression.

There are symptoms that the patient must make sure that the patient is free of them, because they are usually not associated with irritable bowel disease, such as weight loss, loss of appetite, dizziness accompanying anemia, or noticing the exit of blood when defecating, knowing that the specialist doctor must ensure that the patient is free of organic diseases, especially in such cases and also When there is a family history of certain diseases, such as inflammatory bowel diseases (Crohn’s disease or ulcerative colitis), cancer, or the patient is over the age of fifty, by conducting a clinical examination and some tests and x-rays, it may be necessary to perform an endoscopy according to what the doctor deems appropriate.

Since there is no definitive treatment for Irritable Bowel Syndrome, the first step is to identify the motivating factors and try to reduce them to be a permanent plan for the life of the individual and not a temporary solution, and this may require an effort that is not easy for the patient, but its fruits are often good.

Here are some tips that may help reduce IBS symptoms:

1- Drinking a lot of fluids for those who complain of accompanying chronic constipation.

2- Gradually increasing the proportion of plant foods and fiber (however, in some cases, fiber may increase the symptoms of the disease due to the gases resulting from its fermentation).

3- Reduce carbohydrates (such as rice, bread and potatoes) because they produce large amounts of gases in the intestines during digestion.

4- Reducing fats, soft drinks and caffeine because they increase the irritation of the colon.

5- Eating meals according to specific dates helps to regularize the digestive process and reduces intestinal cramps.

6- Exercising for half an hour three to four times a week helps stimulate bowel contraction and reduces associated symptoms and reduces feelings of stress and depression.

7- There are some medicines that can be used without a prescription, but you should not rely on them too much or rely on them because they may cause side effects, and these medicines include anti-diarrheal drugs (loperamide – bismuth). Take large amounts of water so as not to lead to constipation because of the strong absorption of fluids.

Note that it is necessary to consult a specialist doctor in order to confirm the diagnosis first and then follow up the treatment with some prescribed medications such as saline laxatives (Milk of Magnesia) and stimulant laxatives (Dolcolax). There are also some medications such as (alosetron), which is an antagonist of nerve receptors, which increases muscle relaxation Colon and antidepressants such as (Elavil, Prozac, Paxil) can be used and have long-term effectiveness. They are only given in chronic cases, provided that they are taken regularly. It may require the use of a psychiatrist in some intractable cases of anxiety and depression.