Can You Get Hepatitis B Again After Recovering and Having Antibodies? - Gastroenterology and Hepatology

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Hepatitis B


Hello Doctor: I have a question to ask.
I am not a carrier of hepatitis B; I had hepatitis B when I was in elementary school and have developed antibodies against it.
However, I will soon have the opportunity to visit a friend's house, and my friend informed me that his father is a carrier of hepatitis B.
My question is, if I have previously been infected with hepatitis B and developed antibodies, will I be at risk of contracting hepatitis B again if I share a meal with a hepatitis B carrier?

sung, 20~29 year old female. Ask Date: 2003/12/22

Dr. Su Baojia reply Gastroenterology and Hepatology


If you have antibodies for hepatitis B, you will not be reinfected with hepatitis B.

Reply Date: 2003/12/22

More Info


Hepatitis B is a viral infection that primarily affects the liver and can lead to chronic disease and other serious health issues. Once a person has been infected with the hepatitis B virus (HBV) and has recovered, they may develop antibodies against the virus, specifically the hepatitis B surface antibody (anti-HBs). This antibody indicates that the person has immunity to the virus, either from recovery or vaccination.

In your case, since you mentioned that you had hepatitis B in elementary school and have developed antibodies, it is highly unlikely that you will get infected again with the virus. The presence of anti-HBs in your blood typically means that you have protective immunity against hepatitis B. Therefore, even if you are in close contact with someone who is a carrier of the virus, such as your friend's father, the risk of reinfection is very low.

However, it is important to understand that while you are protected from reinfection, there are still some nuances to consider. Hepatitis B can exist in two forms: acute and chronic. Acute hepatitis B is a short-term illness that occurs within the first six months after exposure to the virus, while chronic hepatitis B is a long-term infection that can last a lifetime. Chronic carriers of the virus can still transmit the virus to others, but since you have already developed antibodies, you are not susceptible to the virus again.

When it comes to transmission, hepatitis B is primarily spread through contact with infectious body fluids, such as blood, semen, or vaginal secretions. This can occur through unprotected sexual contact, sharing needles, or from mother to child at birth. Casual contact, such as sharing food or drinks, does not pose a significant risk for transmission. Therefore, sharing a meal with someone who is a hepatitis B carrier is generally considered safe for someone who has already recovered and has antibodies.

That said, it is always wise to take precautions, especially in situations where you might be exposed to blood or other bodily fluids. If you have any concerns about your health or potential exposure to hepatitis B, it is advisable to consult with a healthcare professional. They can provide personalized advice based on your medical history and current health status.

In summary, since you have recovered from hepatitis B and have developed protective antibodies, you are not at risk of getting hepatitis B again, even if you are in contact with a carrier of the virus. However, maintaining good hygiene practices and being aware of potential risks in specific situations is always a good approach to health. Regular check-ups and monitoring your health with your healthcare provider can also help ensure that you remain healthy and protected.

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