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Hepatitis B — FAQs

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Disclaimer:

This information is general only and does not replace advice from your GP or healthcare professional. Always consult a healthcare provider for personalised diagnosis, treatment, or advice regarding Hepatitis B or other liver conditions.

Q1: What is Hepatitis B?

A: Hepatitis B is a viral infection that affects the liver, caused by the Hepatitis B virus (HBV). It can cause both acute (short-term) and chronic (long-term) liver infection. Chronic infection may lead to serious liver problems such as cirrhosis or liver cancer.

Q2: How do people get Hepatitis B?

A: Hepatitis B spreads through contact with infected blood or body fluids. Common modes of transmission include:

  • Sexual contact without protection
  • Sharing needles or syringes
  • From mother to baby during childbirth
  • Blood transfusions or medical procedures with unsterile equipment (rare in modern healthcare)

It cannot be transmitted by casual contact like hugging, kissing, sharing food, or using the same toilet.

Q3: Who is most at risk?

People at higher risk include:

  • Infants born to infected mothers
  • People with multiple sexual partners
  • Healthcare workers exposed to blood
  • People who inject drugs
  • Family members living with someone who has chronic Hepatitis B

Q4: What are the symptoms of Hepatitis B?

Many people, especially children, do not have symptoms. When present, symptoms may include:

  • Fatigue and weakness
  • Loss of appetite
  • Nausea or vomiting
  • Abdominal pain, especially near the liver
  • Dark urine or pale stools
  • Jaundice (yellowing of skin and eyes)

Chronic Hepatitis B may have no symptoms for years, making regular screening important for at-risk individuals.

Q5: How is Hepatitis B diagnosed?

  • Blood tests detect the virus or antibodies
  • Tests can determine whether the infection is acute or chronic
  • Screening is especially important for pregnant women, healthcare workers, and high-risk groups

Q6: How is Hepatitis B treated?

  • Acute Hepatitis B often resolves on its own with supportive care (rest, hydration, avoiding alcohol and liver-damaging medications)
  • Chronic Hepatitis B may require long-term antiviral medications to reduce liver damage and prevent complications
  • Regular monitoring of liver function and viral load is important

Q7: Can Hepatitis B be prevented?

Yes. Prevention methods include:

  • Vaccination — a safe and effective vaccine provides long-term protection
  • Practicing safe sex (using condoms)
  • Avoiding sharing needles, razors, or toothbrushes that may have blood
  • Screening blood products and ensuring sterile medical procedures

Q8: What happens if Hepatitis B is not treated?

Untreated chronic Hepatitis B can lead to:

  • Liver inflammation and scarring (cirrhosis)
  • Liver failure
  • Liver cancer
  • Increased risk of transmitting the virus to others

Q9: Can pregnant women with Hepatitis B infect their baby?

Yes. The virus can be transmitted during childbirth. Babies born to infected mothers should receive:

  • Hepatitis B vaccine within 12 hours of birth
  • Hepatitis B immunoglobulin (HBIG) if recommended by the doctor

These measures greatly reduce the risk of infection in newborns.

Q10: Should family members be tested?

Yes. Household members and sexual partners of someone with Hepatitis B should get screened and vaccinated if they are not already immune. Early detection helps prevent complications and further spread of the virus.