Can hepatitis B "small three positives" be cured?

In general, whether mild chronic hepatitis B (commonly known as "small three positives") can be cured depends on the specific condition of the disease. If the viral load in the patient's body is relatively low, there is a possibility of recovery; however, if the viral load is relatively high, spontaneous recovery may not occur. In case of discomfort, timely medical consultation is recommended. The detailed analysis is as follows:

When patients with mild chronic hepatitis B have a relatively low viral load, it indicates weaker viral replication activity and correspondingly reduced liver damage. Under these circumstances, the body’s immune system may more effectively control and eliminate the virus, or appropriate treatment can further suppress viral replication, potentially achieving a clinically cured state. Additionally, a low viral load reduces the risk of viral mutation and drug resistance, making treatment more effective.

Conversely, when patients have a high viral load, viral replication is active and liver damage tends to be more severe. In such cases, the immune system often cannot independently control viral replication. Moreover, a high viral load increases the risk of viral mutations and drug resistance, making treatment more challenging. Therefore, the likelihood of spontaneous recovery is lower, and patients typically require more aggressive and long-term treatment regimens.

To prevent further disease progression, patients with mild chronic hepatitis B should receive standardized treatment under the guidance of a qualified physician, undergo regular check-ups including liver function tests, viral load measurements, and liver ultrasound examinations, and maintain a healthy lifestyle by avoiding alcohol consumption and excessive fatigue to strengthen immunity. Additionally, patients should avoid sharing personal hygiene items with others to prevent virus transmission.