Conversation: The conversation between human and AI assistant.
[|Human|] have had hepititus B (I think) for forty years or more from IV use, (three injections), 10 years ago I was diagnosed with Hep C with the new tests they have.   Still smoking pot, two puffs a day, very little, and have one glass of wine a week or less.  Have had hand tremors now for five year, seem to be getting worse.  Does this automatically mean that my liver is deteriating?
[|AI|]  Hi thanks for asking question. Noted you have hepatitis b and c both. Because of such long duration you might have cirrhosis of liver. And secondary to liver cirrhosis hepatic encephalopathy might develop that lead to tremors. So cirrhosis must be controlled by cutting oil in diet and more fruits and green leafy vegetables. Strictly alcohol should be avoided. Second possibility is secondary to alcohol you might have vitamin B deficiency that can lead such symptoms. So multivitamin B tablet can be taken for it. If you have increasing symptom consult surgeon for further work up. Take care. Chat Doctor.