liver parenchymal disease

i was detected as a hepatitis b carrier .after that my hepatitis b virus  became undetectable in hbv test. now my main problem is spleonomegaly and alkaline phosphatase high value.. and my fibroscan remarks is grade 4 cirrhosis ..what is my condition right now?

[S. Kaul, MD]

Hi there!

Well, splenomegaly is a rare association of Hepatitis B with cirrhosis. While the cirrhosis is unlikely to resolve ALP and the spleen size may improve as the infection/ inflammation heals. The condition is largely managed symptomatically. I would suggest consulting an internist and a haematologist in addition to a hepatologist for a detailed evaluation and suggestion of an appropriate management plan.
Hope this is helpful.

Take care!