Hepatitis B
Dr.
Ke: Hello! I would like to ask you a few questions, please respond, thank you!
1.
I had hepatitis B when I was younger, but I recovered.
My boyfriend is a carrier of hepatitis B; will he transmit it to me?
2.
Is it true that a hepatitis B carrier will never fully recover?
3.
My boyfriend undergoes regular check-ups, and the doctor always mentions that he has elevated liver fat.
He is scheduled for a follow-up in three months, but I notice that his chest and abdomen are becoming more pronounced.
I have read medical reports stating that if a hepatitis B patient’s chest and abdomen are becoming more pronounced, it could be a cause for concern.
Could it be that he is overworking and staying up late, which is leading to liver disease?
vivian, 20~29 year old female. Ask Date: 2000/11/14
Dr. Ke Zhengchang reply Internal Medicine
Hello Vivian: 1.
Hepatitis B is primarily transmitted through blood transfusions and injections; it is not transmitted through food.
2.
Chronic carriers of Hepatitis B are not easily cured, but there are new treatment options available.
Please follow up with a hepatology clinic for treatment.
3.
Excessive fatigue, alcohol consumption, and a diet high in fats and sugars can lead to fatty liver and abnormal liver function.
Exercise and weight management are very important.
Reply Date: 2000/11/14
More Info
Hello! Thank you for your questions regarding Hepatitis B. It's important to understand the risks, management options, and health concerns associated with this viral infection, especially given your personal context. Let’s address your questions one by one.
1. Transmission Risks: Since you mentioned that you had Hepatitis B as a child and recovered, you likely developed antibodies against the virus, which may provide you with immunity. However, your boyfriend being a Hepatitis B carrier (HBsAg positive) does pose a risk of transmission through certain activities. Hepatitis B is primarily transmitted through blood and bodily fluids. This means that sexual contact without protection, sharing personal items like razors, or exposure to blood can increase your risk of contracting the virus. If you are in a monogamous relationship and your boyfriend is under regular medical supervision, the risk can be managed effectively. It is advisable for both of you to discuss safe practices and consider vaccination for you if you haven't been vaccinated already.
2. Chronic Hepatitis B: Hepatitis B can become a chronic infection, meaning that the virus remains in the body for a long time, often for life. However, not all carriers will experience severe liver disease. Some individuals may remain asymptomatic and have stable liver function, while others may develop complications such as cirrhosis or liver cancer over time. Regular monitoring by a healthcare provider is essential for managing the condition and assessing liver health.
3. Fatty Liver Disease and Symptoms: The concern you raised about your boyfriend's increasing abdominal girth and chest prominence could be indicative of several issues, including fatty liver disease, which is common among individuals with Hepatitis B. Fatty liver can result from various factors, including obesity, poor diet, alcohol consumption, and metabolic syndrome. It is crucial for him to maintain a healthy lifestyle, including a balanced diet and regular exercise, to manage his liver health. The symptoms you described could also be related to liver enlargement or other complications, so it’s important for him to follow up with his healthcare provider for further evaluation.
In summary, while Hepatitis B can be a serious health concern, understanding the transmission risks and maintaining regular medical check-ups can help manage the condition effectively. Encourage your boyfriend to adhere to his follow-up appointments and discuss any concerning symptoms with his doctor. Additionally, consider getting tested for immunity to Hepatitis B and discussing vaccination options with your healthcare provider. This proactive approach can help ensure both of your health and well-being. If you have any more questions or concerns, feel free to ask!
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