Bloodindex - Home
Search Bloodindex
Login Name :
Password :
 
 
 Dear Guest, Welcome to Bloodindex Sign in | Sign up



My health diary Health Diary - An Online Electronic Personal Health Record Solution

My health folder Health folder

Blood sugar diary Blood sugar diary

BP printable diary Blood pressure report charts and diary

Cholestrol diary Cholestrol Report Diary

Clinical tests diary Customizable Clinical Tests Diary

Treatment diary Treatment follow up diary

Directory service Directory Service

Knowledge zone knowledge Service

Download zone Download Center

Health calculators Health Calculators

News zone News Zone

Tell my friend Tell My Friend

Blood services Blood Services

Support services Download Center

Link map Download Center


Diabetes Zone - Comprehensive detailed information on Diabetes


My Health Folder


bloodindex AIDS zone


HIV/AIDS care community
You are here : Home/ Blood Zone/ Blood Diseases & Disorders/ Hepatitis / Hepatitis B

Hepatitis B

Hepatitis B - Navigation index
  • What is Hepatitis B
  • Sign and Symptoms
  • Transmission
  • Diagnosis
  • Treatment
  • Drugs being used
  • Eating habits
  • Prevention
  • Hepatitis B Vaccination Details
  • Who should be in need of possibly Vaccinated



  • What is Hepatitis B

    Hepatitis B is the most common serious liver infection. It is caused by the hepatitis B virus that attacks the liver. Hepatitis B virus (HBV) is a potentially life-threatening bloodborne pathogen.

    The virus is transmitted through blood and infected bodily fluids. This can occur through
    • direct blood-to-blood contact,
    • unprotected sex,
    • use of un-sterile needles, and
    • from an infected woman to her newborn during the delivery process
    An adult usually fights off the virus but if the body cannot fight it, chronic hepatitis B develops. Chronic hepatitis B can lead to cirrhosis or liver cancer, which can stop the liver from working properly. A person will die if his or her liver does not function.

    When a person is first infected with the hepatitis B virus, this is called an "acute infection". Most adults will fight off the virus, and recover without any problems.

    If the virus remains in the blood for more than six months, a person is then diagnosed as having a "chronic infection," or "chronic hepatitis B". Fortunately, 90% of healthy adults will recover and develop antibodies against the hepatitis B virus. Unfortunately, this is not true for babies and young children. About 90% of babies and 50% of young children are unable to get rid of the virus.

    People who recover from an acute hepatitis B infection will develop protective antibodies. After fighting the virus once, the body knows how to protect a person from getting a hepatitis B infection again. They become "immune" to the hepatitis B virus. For those who do not get rid of the virus after 6 months of infection, this means the virus may stay in the liver and blood a lifetime. These people are diagnosed as having chronic hepatitis B.

    Although most people with chronic hepatitis B have long, healthy lives, they do have a greater risk of developing serious liver disease later in life. The virus can quietly and continuously attack the liver over many years without being detected. The liver is a very important organ in the body. It helps digest food, absorb nutrients, resist infections, remove waste and poison from the body, and make proteins that help the blood clot. Without a functioning liver, a person will die within 1 to 2 days.

    In the liver, a chronic hepatitis B infection can lead to cirrhosis. Cirrhosis is a condition where the cells of the liver are scarred by tissue fibers. This causes the liver to become less effective. With severe cirrhosis, the liver stops working. This is known as liver failure.

    A chronic hepatitis B infection can also lead to liver cancer over time. Regular evaluation by a physician (for example, a liver specialist), seeking treatment if appropriate, and maintaining a healthy lifestyle can help slow down possible liver damage from the hepatitis B virus.


    Symptoms

    Most people do not have symptoms during the acute hepatitis B infection stage. Signs and symptoms are less common in children than adults.

    Hepatitis B is often called a "silent infection" because most people do not know they have been infected. People with chronic hepatitis B can live for decades without having any symptoms. Even though they have no symptoms, the hepatitis B virus can be silently damaging the liver for years. This is why it is important for all people to know if they have been infected with hepatitis B. The symptoms are
    • jaundice
    • fatigue
    • abdominal pain
    • loss of appetite
    • nausea, vomiting
    • joint pain
    Severe symptoms include nausea and vomiting, yellow eyes and skin called "jaundice", and a bloated or swollen stomach. This condition, which can develop suddenly, is life threatening and requires immediate medical attention.


    Transmission

    A person can transmit hepatitis B to another through blood and infected bodily fluids. This can happen in the following ways:
    • Direct blood-to-blood contact
    • Unprotected sex
    • Non-sterile needles
    • An infected mother passing it to her newborn during birth
    The hepatitis B virus can also be transmitted by sharing razors, toothbrushes, nail-clippers or earrings. If sterile needles are not used, it is possible to transmit hepatitis B through body piercing, tattooing, drug injection and acupuncture.

    Hepatitis B is NOT transmitted casually. It cannot be spread through sneezing, coughing, hugging or eating food prepared by someone who is infected.

    Everyone is at some risk of getting hepatitis B. However, there are people who have a higher risk because of their job or life choices. People whose job puts them in contact with blood include:
    • Health care workers
    • Emergency personnel
    • Residents and staff of jails, prisons and group homes
    Other activities that put a person at a higher risk of becoming infected with hepatitis B virus include:
    • Illicit drug users
    • Men who have sex with men
    • People with more than one sex partner
    • Those who get tattoos or body piercing
    Certain medical conditions put people at a higher risk of becoming infected with hepati-tis B. These types of situations include:
    • People with kidney disease or those who need kidney dialysis
    • People who need blood for medical conditions such as hemophilia
    • People who received a blood transfusion before 1992
    • People who have already been diagnosed with a sexually transmitted disease
    Being in close contact with an infected family member may raise your risk of becoming infected. Examples include:
    • Babies born to infected mothers
    • Living in close contact with an infected person
    • Having sex with an infected partner or spouse
    • Families who adopt a child from a country where hepatitis B is common
    It is extremely rare to get hepatitis B through blood transfusion, since all donated blood is tested for hepatitis B.


    Diagnosis

    A simple blood test can easily diagnose a hepatitis B infection. The test looks for antigens and antibodies in your blood. If you think you were recently infected, it will be 4 to 6 weeks before the virus can be found in your blood. A blood test will show if:
    • You have never been infected
    • You have an acute hepatitis B infection right now
    • You have recovered from a past infection and are now immune
    • You have a chronic hepatitis B infection and the virus is in your blood
    • You are immune to hepatitis B due to vaccination
    If the test shows that you have not been infected with the hepatitis B virus, remember that you are still at risk. Get the hepatitis B vaccine. The Hepatitis B Panel is a 3-part blood test:
    • Hepatitis B surface antigen (HBsAg) – If this test is positive, the virus is present
    • Hepatitis B surface antibody (HBsAb) – if this test is positive, you are immune to hepatitis B
    • Hepatitis B core antibody (HBcAb) – if this test is positive, you may have been ex-posed to hepatitis B, and you should talk to your doctor.
    All three test results are needed to make a final diagnosis of your hepatitis B status.
    If the test indicates that you have been infected with hepatitis B before but have since recovered, then you are immune. You cannot infect others and you do not need the vaccine.

    If the test shows you are infected, it could be a new acute infection or an old chronic infection that your body never fought off. Your doctor will give you another blood test and monitor your condition.

    Over the next 6 months after finding out you are infected, you will get another blood test. If the virus does not show up, you are immune to hepatitis B and cannot be infected again. If the virus is still present, you will be diagnosed as having chronic hepatitis B.

    If you have chronic hepatitis B, getting a regular checkup (every 6 months) with a liver specialist is very important. The doctor will do a physical exam, and order blood tests and an ultrasound imaging of your liver.

    Some of the blood tests the doctor will order include the ALT (a liver enzyme that can indicate liver damage), the viral load (amount of hepatitis B virus in the blood) and the AFP (a liver cancer marker). Some people might also need a biopsy. Treatment depends on the results of these tests and the patient’s health.


    Treatment

    For an acute hepatitis B infection, there is generally no treatment besides rest and managing any symptoms – the body will fight off the virus on its own.

    For chronic hepatitis B, there is still no complete cure. However, most people with chronic hepatitis B can expect to live a long, healthy life. There are treatments that help slow the progression of liver disease by slowing down the virus, although not all people with chronic hepatitis B need treatment. If less hepatitis B virus is produced, then less damage is done to the liver.

    Your doctor will probably want to see you at least once or twice a year to monitor your hepatitis B and the health of your liver. He or she can determine if you would benefit from treatment based on your blood tests and physical examination.
    • Medical management

      Your doctor can help decide whether drug therapy would help you. It is important to understand the pros and cons of each treatment. Whether you decide to start treat-ment or not, you should regularly see a liver specialist or a doctor knowledgeable about hepatitis B.

      HBV infected persons should be evaluated by their doctor for liver disease.

      Drugs used for the treatment of persons with chronic hepatitis B.
      • Adefovir dipivoxil,
      • interferon alfa-2b,
      • pegylated interferon alfa-2a,
      • lamivudine,
      • entecavir, and
      • telbivudine
      These drugs should not be used by pregnant women.

      Drinking alcohol can make your liver disease worse.
    People with a chronic hepatitis B infection should also make lifestyle choices that help them live healthy and protect their liver. They should avoid alcohol and smoking. Both of these can be extremely harmful to a liver already infected with hepatitis B.

    People with a chronic hepatitis B infection should also talk to their doctor about getting vaccinated against hepatitis A, another virus which attacks the liver and can be espe-cially harmful for someone with chronic hepatitis B.


    Eating habits

    There is no special diet for people with chronic hepatitis B. It is best to eat a healthy, well-balanced diet that is low in fat and includes plenty of vegetables. You should avoid eating raw shellfish since they can contain bacteria that are harmful to your liver.

     
    Prevention

    Hepatitis B is 100 times more contagious than the AIDS virus, yet it can be prevented with a safe and effective vaccine. Vaccination is necessary to protect everyone, especially infants and children. Without vaccination, about 90% of infants who get the virus develop chronic infections.

    The hepatitis B vaccine is considered one of the safest and most effective vaccines ever made. It cannot cause hepatitis B. The vaccine works for people who are not infected with the hepatitis B virus. People with acute or chronic hepatitis B do not benefit from the vaccine.

    Vaccination helps the body develop protective antibodies against the hepatitis B virus. With 3 separate shots, a person becomes immune to hepatitis B.


    Hepatitis B Vaccination schedule
    • first injection anytime
    • second injection in one month
    • third injection six month after first
    Some common side effects of Hepatitis B vaccine include soreness, swelling and redness at the injection site.

    Hepatitis B Vaccine Dosage information:

    Dosage :- Three doses, over a 6-month period

    Immunity :-
    • one dose, 30% to 50% protection;
    • two doses, 50% to 75% protection;
    • three doses, more than 90% protection.
    Note: some people, such as people living with HIV, may require more than three doses.

    With all viral hepatitis vaccines, there is a minimum amount of time needed between doses, but there is no maximum. Patients never need to restart the series.



    Who should be in need of possibly Vaccinated
    • All babies, at birth
    • All children, aged 0-18 years old, who have not been vaccinated
    • Injection drug users (IDUs)
    • Sexually active heterosexuals (more than one partner in prior six months, recently acquired STD)
    • Gay Men/MSM
    • Sex contacts of people with chronic hepatitis B
    • Household contacts of people with chronic hepatitis B
    • People with jobs involving contact with human blood
    • Kidney dialysis patients and patients with early renal failure
    • Families of children with evidence of past infection who have been adopted from areas with high rates of HBV infection (Southeast Asia, Africa, Amazon Basin, Pacific Islands, Middle East)
    • Those traveling or living internationally for more than six months in areas with high or intermediate rates of HBV infection
    • Inmates in correctional facilities
    • Healthcare workers







    Find nutrition values for common foods
     
    Bloodindex - Blood pressure diary, reports and charts
     
     
     
    Events | About us | Link to us | Contact us | Associates | Services | Fund-rising options | Feedback | Privacy policy | Disclaimer | RSS feed
    © 2007 bloodindex