Cotton Tree Gastroenterology Group

Hepatitis B

What is Hepatitis B?

Hepatitis B is a variant of viral hepatitis, an inflammation of the liver.

Hepatitis B is caused by hepatitis B virus (HBV). It is a dangerous condition that can become chronic infections if not treated on time.

Who does Hepatitis B Affect?

Hepatitis B affect millions of people globally and are one of the most common causes of liver cirrhosis and cancer.

Anyone that comes in contact with contaminated body fluids and blood can be affected with hepatitis B. 

The groups that have a higher risk of infection include:
  • people at a higher risk of needlestick injury (healthcare workers), 
  • drug users sharing contaminated needles, 
  • hemodialysis patients and 
  • unprotected sexual contact with an affected partner. 
These viruses can also be transmitted to newborns from infected mothers.

How does Hepatitis B Occur?

Hepatitis B occurs when the body is exposed to contaminated body fluids or blood carrying HBV.
 
The virus infects the liver cells, and takes up to 45 to 100 days to incubate. As the virus replicates, it causes inflammation and liver injury.

Causes of Hepatitis B

The causes of Hepatitis B is infection with HBV, which can be acquired due to exposure to:
  • Contaminated blood
  • Sexual contact with affected partner
  • Needle prick injury with contaminated blood or patient
  • Drug users sharing used needles
  • Contact with other contaminated body fluids 

Symptoms of Hepatitis B

Hepatitis B infections cause symptoms which include:
  • Fever
  • Fatigue / Lethargy
  • Joint pain
  • Nausea and loss of appetite
  • Vomiting
  • Abdominal pain
  • Dark urine
  • Jaundice (yellowing of the eyes and skin)

Stages of Hepatitis B

This disorder begin as acute infections, which if left untreated for more than six months, become severe enough to be classified as chronic liver disease, leading to cirrhosis and cancer.

How is Hepatitis B Diagnosed?

The diagnosis for Hepatitis B is made by taking a complete history and a complete physical examination, including a comprehensive liver exam.

The diagnosis is confirmed by blood test which is tested for Hepatitis B surface antigen (HBsAg).

How is Hepatitis B Treated?

In cases of acute hepatitis B, the infection clears out on its own in most cases. Treatment becomes a viable option only when the disease progresses from acute to chronic state.

Hepatitis B Treatment

In chronic cases of hepatitis B, the doctor will prescribe a course of interferon-alpha for treating the virus and reducing the viral load. 

The main aim of treatment is to prevent the infection from getting worse, even if it cannot be completely cleared. 

What if Hepatitis B is Untreated?

If Hepatitis B is left untreated, this viral infection will eventually become chronic liver infections that can lead to liver cirrhosis and cancer. 
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