Hepatitis B vaccine, Gastroenterology and Hepatology FAQ

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Understanding the Hepatitis B Vaccine Schedule and Antibody Response

Hepatitis B vaccination schedule? Hello, doctor... I would like to ask about the need for a hepatitis B antibody test due to work requirements. I found that both the hepatitis B surface antigen and antibody were negative. The company recommended administering the hepatitis B vacc...


Dr. Lin Minghui Reply:
The interval between the second and third doses can be between 4 to 6 months. Please remember to get the third dose. Wishing you good health!

[Read More] Understanding the Hepatitis B Vaccine Schedule and Antibody Response


Infection Risks of Sharing Utensils with Hepatitis B Carriers: A Dental Perspective

The risk of infection when sharing utensils and food with the children of a hepatitis B carrier in the presence of non-bleeding oral wounds? Hello, doctor. I would like to ask if there is a possibility of infection when sharing utensils and food with the child of a hepatitis B ca...


Dr. Chen Shidian Reply:
In principle, the likelihood of infection as described is very low (almost impossible). If a person has received the hepatitis B vaccine at birth and has developed antibodies, there is even less reason for concern.

[Read More] Infection Risks of Sharing Utensils with Hepatitis B Carriers: A Dental Perspective


Understanding Your Health Check Report: What Does a Negative Hepatitis B Result Mean?

I have difficulty understanding the content of the health examination report regarding Hepatitis B, so I would like to consult a physician? Hello, doctor. I saw on my health check report that the Hepatitis B antigen is negative (<0.05) and the Hepatitis B antibody is blank. I ...


Dr. Lin Minghui Reply:
The hepatitis B antigen test result: Negative indicates that there is currently no hepatitis B infection and that you are not a carrier of the virus. The absence of hepatitis B antibodies may suggest that this test was not performed. Since July 1986, Taiwan has implemented a comp...

[Read More] Understanding Your Health Check Report: What Does a Negative Hepatitis B Result Mean?


Impact of Hepatitis B Vaccination on Liver Function in Antibody-Positive Patients

Issues related to hepatitis B vaccination? If a patient has already developed antibodies against hepatitis B but then receives three doses of the hepatitis B vaccine, there are generally no adverse effects from the vaccination. The vaccine is designed to boost immunity, and in th...


Dr. Chen Shidian Reply:
In theory, it will only enhance the concentration of hepatitis B antibodies and will not affect liver function tests.

[Read More] Impact of Hepatitis B Vaccination on Liver Function in Antibody-Positive Patients


Understanding Positive Hepatitis B Antigens and Antibodies: What It Means

Both hepatitis B surface antigen (HBsAg) and antibodies (anti-HBs) are positive, while the core antibody (anti-HBc) is negative? Hello, both of my parents have been confirmed as non-carriers of hepatitis B surface antigen. My brother's blood test also showed negative for the...


Dr. Chen Shidian Reply:
0%, it should only be a laboratory false positive.

[Read More] Understanding Positive Hepatitis B Antigens and Antibodies: What It Means


Understanding Hepatitis B: Infection History, Antibodies, and Breastfeeding Concerns

Hepatitis B Infectivity Issues Hello Doctor, I have the following results from my prenatal check-ups: HBsAg (Hepatitis B surface antigen) is negative, HBeAg (Hepatitis B e antigen) is negative. In March of this year, the results showed HBsAg negative, anti-HBs (Hepatitis B surfac...


Dr. Chen Shidian Reply:
Having antibodies indicates immunity, and as a member of the general public, there is no need for concern.

[Read More] Understanding Hepatitis B: Infection History, Antibodies, and Breastfeeding Concerns


Understanding Hepatitis B Transmission Risks and Prevention Strategies

Hepatitis B-related issues Hello, Doctor. I recently learned that a family member is a carrier of hepatitis B. I haven't had a health check-up in over a year and I'm not aware of the viral load or other conditions; I only know that I have fatty liver. However, I do not ...


Dr. Lin Minghui Reply:
Hello: Hepatitis B is transmitted through the entry of blood or bodily fluids containing the Hepatitis B virus into the body via the skin or mucous membranes. Transmission routes include blood transfusions, injections, hemodialysis, acupuncture, tattoos, eyebrow tattoos, ear pier...

[Read More] Understanding Hepatitis B Transmission Risks and Prevention Strategies


Do Babies with Low Hepatitis B Antibodies Need a Booster Shot?

Is it necessary to receive a booster shot for hepatitis B antibodies? Hello, doctor. I would like to ask about my situation. I am a carrier of hepatitis B, with HBsAg positive and HBeAg negative. My baby is currently 1 year and 1 month old. At birth, he received immunoglobulin an...


Dr. Chen Shidian Reply:
There is limited research on catch-up vaccinations for infants and young children, and no consensus exists. The general principle is that catch-up vaccinations can be administered, and there have been no reports of adverse effects.

[Read More] Do Babies with Low Hepatitis B Antibodies Need a Booster Shot?


Can Sharing Toothpaste with a Hepatitis B Patient Lead to Infection?

Can sharing toothpaste with a hepatitis B patient lead to transmission? Is it possible to contract hepatitis B by sharing toothpaste with a hepatitis B patient? If so, what is the likelihood of infection? How long after receiving the vaccine can I check for the presence of antibo...


Dr. Chen Shidian Reply:
The chances are still low, but it is recommended to use personal toothpaste. A booster dose of the Hepatitis B vaccine should be administered (since it was given at birth), and blood tests can be conducted after one month to assess the effectiveness.

[Read More] Can Sharing Toothpaste with a Hepatitis B Patient Lead to Infection?


Understanding Hepatitis B Vaccine Boosters: Key Questions Answered

Questions about booster shots for Hepatitis B vaccine? Hello, Doctor: My mother is a carrier of hepatitis B. My two daughters received immunoglobulin within 24 hours of birth. My younger daughter received her first dose of the hepatitis B vaccine on June 2, 2022, at the hospital....


Dr. Chen Shidian Reply:
The principle is to respect the recommendations of pediatricians.

[Read More] Understanding Hepatitis B Vaccine Boosters: Key Questions Answered


Understanding Hepatitis B Vaccination and Testing After Risky Behavior

Testing and Vaccine Booster Issues I would like to ask the doctor, after engaging in high-risk behavior, if I get tested for hepatitis B one month later and the result is negative, and then I receive a booster dose of the hepatitis B vaccine, will this vaccine be helpful if I tes...


Dr. Chen Shidian Reply:
The accuracy will not be affected if a hepatitis B carrier tests positive (indicating they have hepatitis B), which means that the hepatitis B vaccine was administered too late.

[Read More] Understanding Hepatitis B Vaccination and Testing After Risky Behavior


Should Hepatitis B Carriers Get Vaccinated? Understanding Your Test Results

Hepatitis B testing and vaccination? Hello doctor, I am a carrier of hepatitis B. This month, my hepatitis B test results showed a surface antigen value of 0.46 S/CO (Nonreactive) and a surface antibody value of 6.9 mIU/mL (Nonreactive), both of which are negative. Do I need to r...


Dr. Lin Minghui Reply:
Some carriers of hepatitis B may experience spontaneous disappearance of the surface antigen, which we refer to as functional treatment for hepatitis B. Vaccination is not required in these cases. Some individuals may also produce surface antibodies on their own, achieving functi...

[Read More] Should Hepatitis B Carriers Get Vaccinated? Understanding Your Test Results


Understanding Hepatitis B Transmission and Cleaning Guidelines

Cleanliness and Transmission Issues of Hepatitis B Hello, doctor. I would like to ask you a few questions that have been bothering me: 1. Should clothing stained with the blood of a hepatitis B carrier be washed separately from other people's clothes? 2. Do regular laundr...


Dr. Chen Shidian Reply:
Individuals who have not received the hepatitis B vaccine should avoid allowing their wounds to come into contact with the fresh blood of a hepatitis B patient, as this could pose a risk. It is advisable for those who have not been vaccinated to get vaccinated as soon as possible...

[Read More] Understanding Hepatitis B Transmission and Cleaning Guidelines


Do You Need a Booster for Hepatitis B Vaccine After Positive Antibody Test?

Hepatitis B vaccine booster? Hello doctor, I received a dose of the hepatitis B vaccine in the second half of 2018. Two years later, in September 2020, my health check report indicated that my "Hepatitis B surface antibody (quantitative) HBsAb" was positive (411.1), and...


Dr. Chen Shidian Reply:
No need for a booster shot, as antibodies are already present.

[Read More] Do You Need a Booster for Hepatitis B Vaccine After Positive Antibody Test?


Understanding Hepatitis B: Key Insights for Family Health Management

Regarding Hepatitis B? Hello Doctor: Recently, my mother (70 years old) underwent a health check-up, and the ultrasound revealed signs of liver degeneration. She has also had a clinic health examination and an upper gastrointestinal endoscopy, which showed the presence of Helicob...


Dr. Lin Minghui Reply:
Hello: HBsAg (+) *243.300 indicates a carrier of Hepatitis B, who requires regular monitoring every six months, including blood tests and abdominal ultrasounds. Hepatitis B is a high-risk factor for liver cirrhosis and liver cancer. If taking dietary supplements and traditional C...

[Read More] Understanding Hepatitis B: Key Insights for Family Health Management


Understanding Hepatitis B Transmission Risks for Mothers and Infants

The issue of blood transmission of Hepatitis B? Hello, doctor. I am a mother who is a carrier of hepatitis B. I would like to ask you, how long does the hepatitis B virus remain infectious when exposed to air? If my baby (who has completed the three doses of the hepatitis B vacci...


Dr. Chen Shidian Reply:
After receiving three doses of the hepatitis B vaccine, you do not need to worry about being infected with hepatitis B. Hepatitis B is not transmitted through oral routes.

[Read More] Understanding Hepatitis B Transmission Risks for Mothers and Infants


Understanding Abnormal Liver Enzymes: Causes and Concerns

Abnormal liver function tests? Hello, doctor. I have always had a high body weight. In July of this year, I had a blood test that revealed abnormal liver enzyme levels (AST 69 / ALT 147 / GGT 155). The doctor suspected that this might be related to the fact that I had chickenpox ...


Dr. Chen Shidian Reply:
Fatty liver disease, drug-induced/alcoholic hepatitis, and even autoimmune hepatitis are possible conditions that require diagnosis and treatment by a hepatologist. Dietary changes, exercise, weight loss, and abstaining from alcohol are initial steps that can be taken independent...

[Read More] Understanding Abnormal Liver Enzymes: Causes and Concerns


Do I Need to Get the Hepatitis B Vaccine as a Carrier?

Inquiry about Hepatitis B? Hello, doctor! My recent health check-up showed that I tested positive for Hepatitis B core antibodies, and my Hepatitis B surface antibody (Anti-HBs) level is 7.6 mIU/ml. The report indicates that I am a carrier of Hepatitis B, but my Hepatitis B surfa...


Dr. Chen Shidian Reply:
Please bring the report to the gastroenterology outpatient clinic for confirmation. In principle, it is not recommended for non-medical personnel to receive a booster shot.

[Read More] Do I Need to Get the Hepatitis B Vaccine as a Carrier?


Understanding Abnormal Liver Enzymes: Causes and Concerns

Abnormal liver function tests? In July, blood tests revealed abnormalities in blood sugar, liver enzymes, and cholesterol. The cholesterol issue had been noted since high school health checks, and the physician later believed it to be hereditary (as my mother also has this issue)...


Dr. Chen Shidian Reply:
1. If other causes are excluded, be cautious of the side effects of lipid-lowering medications. 2. No, it won't. 3. It shouldn't either.

[Read More] Understanding Abnormal Liver Enzymes: Causes and Concerns


Understanding Long-Term Bloating: When to Seek Medical Advice

Chronic bloating Hello Doctor, I am 23 years old and have been experiencing bloating and pain on the left side of my abdomen near the navel for the past four years. Sometimes I also have pain in the upper left abdomen. I visited a major hospital for examination, and during an ult...


Dr. Lin Minghui Reply:
Hello, A 23-year-old female presents with abdominal bloating, left upper abdominal pain, and a history of esophageal reflux with gastric mucosal erosion. In addition to gastrointestinal disorders, differential diagnoses should also consider liver, gallbladder, and pancreatic di...

[Read More] Understanding Long-Term Bloating: When to Seek Medical Advice


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