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Treatment and transmission of Hepatitis B - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User :   Hepatitis B
Doctor :   hello
Doctor :   how can i help you ?
User :   Hello my husband has hepatitis B
User :   this is his test results
User :   HBsAG 1000 (positivie
Doctor :   ok
User :   Anti-HBs - 0 (negative)
User :   ANti-HBc 0.047(positive)
User :   AST 19,6
User :   ALT 28,5
User :   and GGT 15,2
Doctor :   ok
User :   what he should do?
User :   does he need the treatment or what?
Doctor :   well the results does show he is positive
User :   yes i understand that
Doctor :   has he had any symptoms ?
User :   yes he has some pain in right side where is where is liver
User :   that all no other symptoms
Doctor :   well he has a acute case
Doctor :   Acute hepatitis B usually resolves on its own and does not require medical treatment. If very severe, symptoms such as vomiting or diarrhea are present, then he may require treatment to restore fluids and electrolytes
Doctor :   all you can do is self care at home
Doctor :   such as
Doctor :   1) Drink plenty of fluids to prevent dehydration. Although, broth, sports drinks, gelatin, frozen ice treats (such as Popsicles), and fruit juices may be better because they also provide calories
Doctor :   2) it is very crucial that ANY MEDICATION he takes even if its over the counter that has to be first discussed with the physician \
Doctor :   does he has any other medical problems ?
User :   does he need to take any medicines?pills? and can he drink alkohol once a week?
Doctor :   may i know his age please ?
User :   no he doesnt has any other problems
User :   he is 25
Doctor :   he should avoid alcohol
Doctor :   for about 5 months
Doctor :   till the viral loads go
Doctor :   eat a diet that provides adequate nutrition.
Doctor :   Avoid prolonged, vigorous exercise until symptoms start to improve.
User :   and does he nee to pass adittional test?
Doctor :   unprotected intercourse SHOULD NOT BE DONE
Doctor :   no these tests are enough
Doctor :   but he should undergo general physical examination once a month
User :   ok so he doent need any pills?
Doctor :   no he does not
Doctor :   there are no medical pills for acute hepatitis B infection
User :   and can he has liver cancer?or cirosis?
Doctor :   the chances are only IF it progressive to chronic
Doctor :   but its not common to be chronic
User :   what he needs to do not to progress to chronic?
Doctor :   regular check ups
Doctor :   and taking care as i have told before
Doctor :   but the chances of it going in hep B are less
User :   does hepattis b has genotype?
Doctor :   no
User :   and i'm vaccinated have i risk in having hepatitis b?
Doctor :   you should not have unprotected intercourse
Doctor :   even if you are vaccinated
User :   it is not safe?
Doctor :   yes its not safe
Doctor :   you should not take chances esp in this period
User :   thank you
Doctor :   your most welcome
Doctor :   take care
Doctor :   good bye
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