Firstly, cirrhosis is not diagnosed accurately with ultrasound. You should better take a fibroscan or biopsy for fibrosis and cirrhosis detection. Also f2 or f3 does not mean cirrhosis, they mean moderate(f2) or severe(f3) fibrosis, both are far better cases than cirrhosis. Your quantitive Hbsag,Hbeag, quantitive hbv DNA and liver enzymes(ALT,AST) are required for better advices from the users of this forum.
Do fibroscan liver function test hbv DNA hbeag. USG does not detect liver cirrhosis
My Some more results are as follows:
Liver: reduced in size (9.9 ml in MCL). Irregular margin, moderately coarse (Moderate F2 to F3 fibrosis) parenchyma __________CLD. No focal defect. integrate biliary channels are not dilated. Spectral pattern of hepatic vein shows loss of W pattern.
PORTAL VASCULATURE: Portal vein (13mm Luminal dia) is of increased caliber with hepatopetal flow.
Repeat Ultrasound 2:
Liver: Liver measures 120 mm in cranio caudal dimension. The contours are irregular. Its tecture appears inhomogeneous. No intra hepatic biliary dlitaion noted. CBD measures 3.6 mm at porta hepatis. PV measures 10.3 mm and is clear. Portal vein as well as hepatic veins are seen tortuous at porta hepatis
1. Billubirin: 0.7
2. ALT: 79
3. AST: 35
4. Alkaline Phosphate: 148
5. Gamma GT: 83
Another repeat Test:
1. Billiburin: 0.80 mg/dL
2. Albumin Serum: 4.56 mg/dL
1. Patient: 11.0 Seconds
2. Control: 10.6
3. INR: 1.0
1. HB Surface Antibody: Non reactive (patient value: 0.00 mIU/ml)
2. Hepatitis Be Antigen: Non reactive (patient value: 0.350)
3. Hepatitis Be Ab: Reactive (Patient S/CO value:0.01)
Us means nothing as liver damage and not cirrhosis for sure, have a fibroscan check, forget about herbs, vitamins and antioxidants that repair liver are scientifically proven and used in this forum even to regress an advanced cirrhosis by me
take entecavir if fibroscan shows fibrosis
Is entecavir better tan tdf to regress fibrossis or cirrhosis?
The one test that you are missing is Fibroscan test. Find a clinic which has it and test yourself for it soon. This is the test which will access your fibrosis level (damage level to your liver) and is more accurate then ultrasound.
If fibroscan is 6.5 or higher (which probably will be the case based on your ultrasound) then I would start with entecavir (or tenofovir). If fibroscan is lower you can wait for 2-3 more months and measure your ALT and DNA again and if they don't improve significantly then start with entecavir (or tenofovir).
However, your current results indicate that you will most likely need to start with entecavir (or tenofovir)...but to make sure you are making a right decision you can do the fibroscan test beforehand.
First you do fibroscan google it from your nearest area
dont use herbs they are often pollutted with metals and scientifically uselless except few you already find in antioxidants fomulations
entecavir or tenofovir are about the same and regress cirrhosis by 5 years.
vitamins, antioxidants and balanced diet with no processed foods fasten results.fibroscan will start going down after 1 year on antivirals
the antiviral is of course the main thing which will allow liver repair allthe rest is just a little help to make it work faster and is useless without the antiviral
Keep taking entecavir regularly...it shall stop your fibrosis progression and after some time your fibrosis shall start regressing. Entecavir is your main thing now. Do the blood tests regularly to see how entecavir is working along with the fibroscan and regular hcc screenings...but yes it will take some time till you see regression of fibrosis.
Get into regular exercise, coffee drinking, and get onto a very healthy diet (avoid meat fat and saturated fat, avoid cheese, drink only milk with reduced fat; eat lots of fresh fruits and vegetables on daily basis).
off course if you smoke or drink, you will have to stop with these from now on....
Coffee has been shown in a number of research studies to reduce chance of hcc cancer by 40%
Yes, restart with exercise...running or swimming should be some of the best options to exercise.
coffee is extremely good and a must like vit d3 is and antiviral is life saving in your case
ther is no constipation with good yogurt home made daily and that has nothing to do with fibrosis anyway
its also best you choose organic milk,normal milk has something much worst than fat: antibiotics and steroids