Hepatitis B: Causes, Risks, and What You Need to Know - Gastroenterology and Hepatology

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Hepatitis B?


Hello, doctor.
I would like to ask what hepatitis B is.
I had a health check-up when I started school this year, and the report indicated that I have hepatitis B.
I heard my brother mention that he was also diagnosed with hepatitis B during his military health examination.
Could this be hereditary? I asked my dad, but he said he didn't know.
If it is hereditary, does that mean it’s less concerning? What should I be aware of regarding hepatitis B? Is it very serious?

Fanny, 20~29 year old female. Ask Date: 2004/11/29

Dr. Chen Zhiping reply Gastroenterology and Hepatology


Hello, Hepatitis B is an inflammation of the liver caused by the Hepatitis B virus infection in the human body.
Some individuals may experience recurrent liver inflammation, while others may have the virus remain dormant in their bodies, becoming healthy carriers.
The transmission routes can be classified as vertical transmission, where the mother infects the fetus during childbirth, or horizontal transmission, which occurs through blood transfusions, contaminated needles, or procedures such as acupuncture, tattoos, and eyebrow tattoos.
Your and your brother's situation seems more akin to maternal transmission.
Due to the potential for chronic hepatitis (which can lead to symptoms such as fatigue, malaise, nausea, and loss of appetite) and even an increased risk of liver cancer, it is recommended that all patients infected with Hepatitis B undergo blood tests and abdominal ultrasound examinations every six months.
Sincerely, Dr.
Chen Zhi-Ping, Internal Medicine.

Reply Date: 2004/11/29

More Info


Hepatitis B is a viral infection that attacks the liver and can cause both acute and chronic diseases. It is caused by the Hepatitis B virus (HBV), which is transmitted through contact with infectious body fluids, such as blood, semen, and vaginal secretions. This can occur through various means, including unprotected sexual contact, sharing needles, or from mother to child during childbirth.
In your case, it is possible that you contracted the virus from your mother, especially if your brother also has a history of Hepatitis B. This is known as vertical transmission, where the virus is passed from an infected mother to her child during delivery. If your family has a history of Hepatitis B, it is essential to discuss this with your healthcare provider, as it may indicate a genetic predisposition to the virus, but it does not necessarily mean that it is hereditary in the traditional sense.

The severity of Hepatitis B can vary significantly from person to person. Some individuals may experience mild symptoms or none at all, while others may develop severe liver disease, including cirrhosis or liver cancer, particularly if the infection becomes chronic. Chronic Hepatitis B occurs when the virus remains in the body for more than six months, leading to ongoing liver inflammation and damage. Regular monitoring and medical check-ups are crucial for managing the condition and preventing complications.

If you have been diagnosed with Hepatitis B, it is essential to follow your healthcare provider's recommendations closely. This may include regular blood tests to monitor liver function and viral load, as well as imaging studies to assess liver health. In some cases, antiviral medications may be prescribed to help control the virus and reduce liver inflammation.
It is also important to maintain a healthy lifestyle to support liver health. This includes avoiding alcohol, eating a balanced diet, exercising regularly, and avoiding medications that can harm the liver. Additionally, vaccination against Hepatitis A and B is recommended for those who are at risk or have not been vaccinated.

In summary, Hepatitis B is a serious viral infection that requires careful management and monitoring. While it can be concerning to receive a diagnosis, many individuals live healthy lives with proper medical care and lifestyle adjustments. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and support.

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