Understanding Hepatitis B

A Comprehensive Guide to Viral Hepatitis B Infection

Gastroenterology

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Last updated: Mar 24, 2025

What is Hepatitis B?

Hepatitis B is a viral infection that affects the liver, caused by the Hepatitis B virus (HBV). It can lead to both acute and chronic liver disease.

Transmission

Hepatitis B spreads through:

  • Contact with infected blood
  • Unprotected sexual contact
  • Mother-to-child during childbirth
  • Sharing needles or personal items
  • Non-sterile medical procedures

Symptoms

Acute Phase

  • Fatigue
  • Fever
  • Joint pain
  • Loss of appetite
  • Nausea and vomiting
  • Jaundice (yellowing of skin and eyes)

Chronic Phase

Many people may be asymptomatic until liver damage occurs.

Diagnosis

Diagnosis involves:

  • Blood tests for viral markers
  • Liver function tests
  • Ultrasound imaging
  • Liver biopsy (in some cases)

Treatment Options

Acute Hepatitis B

  • Usually requires supportive care
  • Rest and adequate hydration
  • Monitoring of liver function

Chronic Hepatitis B

  • Antiviral medications
  • Regular monitoring
  • Lifestyle modifications

Prevention

  1. Vaccination
    • Available for all age groups
    • Recommended for newborns
  2. Safe practices
    • Use protection during sexual activity
    • Avoid sharing personal items
    • Follow universal precautions

Long-term Outlook

Proper management can help:

  • Prevent liver damage
  • Reduce transmission risk
  • Maintain quality of life

When to Seek Medical Care

Consult healthcare provider if:

  • Exposed to infected blood/fluids
  • Experiencing symptoms
  • Pregnant or planning pregnancy
  • High-risk occupation/lifestyle

Regular Monitoring

Important follow-up includes:

  • Regular blood tests
  • Liver function monitoring
  • Screening for complications
  • Vaccination status review

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