Doctor insights on:
Chronic Hepatitis B Life Expectancy
Quite variable: Some have very indolent, low grade infection with little liver damage and those have an essentially normal life span. Others have much more inflammation in their livers that lead to scarring, cirrhosis and possibly liver cancer. Early intervention in these latter cases can prevent a bad outcome. Many people with chronic hbv die with it, not of it. ...Read more
Hep B recovery: The course of hepatitis B may be extremely variable. Hepatitis B virus infection has different clinical manifestations and outcomes depending on the patient’s age at infection and immune status, and the stage at which the disease is recognized. Approximately 2% of people with chronic infection recover. ...Read more
Will chronic hepatitis b shorten my life span if I'm being treated with no liver damage?? Please help I am only 23 and am worrying myself sick
Not fast: The fact that one has "chronic" hepatitis B means that you have had it long enough, at least 6 months, to be labeled chronic. It means the hepatitis B virus has not cleared from your system & you remain infected & infectious to others. The disease has a long, slow course in most people; rapid changes seldom occur. Treatment is available to help prevent liver cancer & cirrhosis. ...Read more
Yes and no:
Most adult onset cases are acute and never become chronic ("get it, got it, had it"). Patients have essentially cleared infection, and remain immune.
95% of infections at birth (endemic regions for chronic carriers, e.g. Far east, africa, middle east) become and stay chronic.
Depending on genotype, viral load, other factors patients may have better responses to meds to decrease, if not clear inf. ...Read more
Hepatitis B: You need to be seen and evaluated by an infectious diseases expert or a hepatologist. This may or may not require treatment, and there are new agents available with which to manage this. Go and get seen and assessed before severe liver damage occurs. Good luck. ...Read more
I am diagnosed with chronic hepatitis b, would it lead to serious medical procedure and situation in the fuure? Because my cmpany I am working is worry
Hepatitis B: Yes, but hepatitis b is now treatable. I would hope that you have medical advisors that are getting your hepatitis b controlled, relieving your liver of the stress it has to have been under, and getting you to a state of health that you do not need to worry about your future. ...Read more
There R few options: Current treatment for chronic hepatitisb is decent/good and is improving as we speak, but no difinitive treatment exists at this time. Since you are young and presumably healthy without evidence of liver damage, your chance of a good out come is good, but not 100%. There are few options for treatment. Consult your doc for eval/discuss to see which is best for your situation. Good luck. ...Read more
Maybe: Chronic hepatitis b may need to be treated, it depends on a variety of factors...Too complex to fully discuss on this board! You need to see a specialist in liver disease, get your labs done, including what is called a viral load, and liver tests as well as tests for various hepatitis b markers, and then have the specialist review your individual case and what they recommend, and why... ...Read more
Virus at early age: Hep b: common (world-wide) viral infection, commonly obtained at birth from mom who is chronic carrier (probably got it at birth from her mother). Adult onset (usually blood transmission, less likely sexual): better chance of being only acute, not chronic. "dose" of exposure, genotype, immune response all play a role. Can rx. Chr inf can lead to more liver problems, incl. Cirrhosis, failure, ca. ...Read more
First thing you will want to do is to speak with your primary care provider who can refer you to the appropriate specialist (usually an infectious disease specialist).
Several blood test will need to be done to determine if you need treatment. Not everyone needs to be treated right away. ...Read more
Yes, but....: There are drugs used to treat chronic hepatitis b infections, but not everyone needs, or should, be on them. This is too complicated to fully discuss on this board, you need to see a liver specialist, or infectious disease specialist, to review your individual situation, and then make appropriate recommendations. ...Read more
Time course: One has to have acute hepatitis b before it becomes chronic hepatitis b. Fifty percent of patients that have acute hepatitis b clear the virus in 1 years time. However, if after 1 year, the virus is still present, then it is considered to be chronic. There are no fda approved medications for acute hepatitis b, but there are several fda approved medications for chronic hepatitis b. ...Read more
No: Hepatitis b virus gets into the nucleus of liver cells, and its genetic information replicates when the liver cell does. So far, we don't know how to get that dna out of liver cells. Fortunately, many people are able to completely control hepatitis b with their own immune systems. If not, doctors may decide to put people on antiviral medications to stop the hepatitis b from making copies of itself. ...Read more
I was diagnose with chronic hepatitis b way back 2005, I don't take any medication since then... What is the possibility that I can be cured?
Absolutely NOT: They are 2 completely separate infections. I would recommend getting tested for HIV as if present, prognosis for hep b is worse. But there are lots of people with just chronic hep b infection. It is not so bad as long as you get regular f/u and treatment if liver affected. ...Read more
Does having chronic hepatitis b means death sentence for me? Please let me know cause im panicking
Don't panic!: No, it does not mean a death sentence! I will be honest up front - chronic hepatitis B does increase your risk of developing liver cirrhosis (scarring), liver failure and liver cancer. However, that does not mean you will, and they generally take many, many years to develop. It is important to follow-up with your physician for regular testing and educate yourself - see http://www. Hepb. Org! ...Read more
Hepatitis b transmit: The likelihood of becoming infected with HBV grows with the number of sexual partners a person has. Thus, promiscuous individuals are more likely to get HBV. Although I couldn't find an exact number for HBV, only approximately 2% of long-term, monogamous, sexual partners of HCV-infected people also test positive for HCV. HBV is probably similar. ...Read more
If you have chronic hepatitis b with treatment does it help you get healthy again and not show up in test results or do you have a short time to live?
What to expect: Once your illness is managed, expect a life expectancy and overall health comparable to anyone else. ...Read more
Yes: It is one of many medications used in treating hepatitis b, though not a first choice of many. ...Read more
Yes: Adefovir does have HBV activity. I had poor experiences in using it as a HIV drug but the dose was higher for HIV so there was more toxicity ...Read more
Yes.: It is possible. The rate of clearance is low - maybe 1% per year or so. The diagnosis of the inactive carrier state and clearance can both be tricky so be sure you are speaking with someone knowledgeable about Chronic Hep B. ...Read more
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