Hepatitis B is a liver disease. Hepatitis * means inflammation
of the liver. Inflammation is the painful, red swelling that results
when tissues of the body become injured or infected. Inflammation can
cause organs to not work properly.
*See the Pronunciation Guide for tips on how to say the words in bold type.
What is the liver?
The liver is an organ that does many important things.
Hepatitis B is a liver disease.
The liver
removes harmful chemicals from your blood
fights infection
helps digest food
stores nutrients and vitamins
stores energy
You cannot live without a liver.
What causes hepatitis B?
The hepatitis B virus causes hepatitis B. Viruses
are germs that can cause sickness. For example, the flu is caused by a
virus. People can pass viruses to each other.
Who gets hepatitis B?
Anyone can get hepatitis B, but some people are at higher risk, including
people who were born to a mother with hepatitis B
people who live with someone who has hepatitis B
people who have lived in parts of the world where hepatitis B is common
people who are exposed to blood or body fluids at work
people on hemodialysis
people who have had more than one sex partner in the last 6 months or have a history of sexually transmitted disease
injection drug users
men who have sex with men
How could I get hepatitis B?
You could get hepatitis B through contact with an infected person's blood, semen, or other body fluid.
You could get hepatitis B from
being born to a mother with hepatitis B
having sex with an infected person
being tattooed or pierced with unsterilized tools that were used on an infected person
getting an accidental needle stick with a needle that was used on an infected person
using an infected person's razor or toothbrush
sharing drug needles with an infected person
You could get hepatitis B from having sex with an infected person.
You cannot get hepatitis B from
shaking hands with an infected person
hugging an infected person
sitting next to an infected person
What are the symptoms of hepatitis B?
Hepatitis B usually has no symptoms. Adults and children ages 5 and older sometimes have one or more of the following symptoms:
yellowish eyes and skin, called jaundice
a longer than usual amount of time for bleeding to stop
swollen stomach or ankles
easy bruising
tiredness
upset stomach
fever
loss of appetite
diarrhea
light-colored stools
dark yellow urine
What is chronic hepatitis B?
Hepatitis B is chronic when the body can't get rid
of the hepatitis B virus. Children, especially infants, are more likely
to get chronic hepatitis B, which usually has no symptoms until signs
of liver damage appear. Without treatment, chronic hepatitis B can
cause scarring of the liver, called cirrhosis; liver cancer; and liver failure.
Symptoms of cirrhosis include
yellowish eyes and skin, called jaundice
a longer than usual amount of time for bleeding to stop
swollen stomach or ankles
tiredness
nausea
weakness
loss of appetite
weight loss
spiderlike blood vessels, called spider angiomas, that develop on the skin
How is hepatitis B diagnosed?
Hepatitis B is diagnosed through blood tests, which can also show if you have chronic hepatitis B or another type of hepatitis.
Your doctor may suggest getting a liver biopsy if
chronic hepatitis B is suspected. A liver biopsy is a test for liver
damage. The doctor uses a needle to remove a tiny piece of liver, which
is then looked at with a microscope.
Blood is drawn for hepatitis B testing.
How is hepatitis B treated?
Hepatitis B usually is not treated unless it becomes chronic.
Chronic hepatitis B is treated with drugs that slow or stop the
virus from damaging the liver. The length of treatment varies. Your
doctor will help you decide which drug or drug combination is likely to
work for you and will closely watch your symptoms to make sure
treatment is working.
Drugs given by shots include
interferon
peginterferon
Drugs taken by mouth include
lamivudine
telbivudine
adefovir
entecavir
Liver Transplantation
A liver transplant may be necessary if chronic hepatitis B causes
liver failure. Liver transplantation surgery replaces a failed liver
with a healthy one from a donor. Medicines taken after surgery can
prevent hepatitis B from coming back.
How can I avoid getting hepatitis B?
You can avoid getting hepatitis B by getting the hepatitis B vaccine.
Vaccines are medicines that keep you from getting sick. Vaccines
teach your body to attack specific germs. The hepatitis B vaccine
teaches your body to attack the hepatitis B virus.
The hepatitis B vaccine protects you from infection.
Adults at higher risk of getting hepatitis B and all children should
get the vaccine. The hepatitis B vaccine is given through three shots
over a period of several months. There is no minimum age for
vaccination. The second shot should be given at least 1 month after the
first, and the last shot should be given at least 2 months after the
second shot but no sooner than 4 months after the first. The hepatitis
B vaccine is safe for pregnant women.
You need all three shots to be fully protected. If you are traveling
to a country where hepatitis B is common, try to get all the shots
before you go. If you don’t have time to get all the shots before you
go, get as many as you can. One shot may provide some protection
against the virus.
You can also protect yourself and others from hepatitis B if you
use a condom during sex
do not share drug needles
wear gloves if you have to touch another person's blood
do not borrow another person's toothbrush, razor, or anything else that could have blood on it
make sure any tattoos or body piercings you get are done with sterile tools
do not donate blood or blood products if you have hepatitis B
Wear gloves if you have to touch another person's blood.
What should I do if I think I have been exposed to the hepatitis B virus?
See your doctor right away if you think you have been exposed to the
hepatitis B virus. The first shot of the hepatitis B vaccine taken with
a medicine called hepatitis B immune globulin may prevent you from
getting sick.
If you are at higher risk of hepatitis B, get tested. Many people do
not know they are infected. Early diagnosis and treatment can help
prevent liver damage.
Points to Remember
Hepatitis B is a liver disease caused by the hepatitis B virus.
Anyone can get hepatitis B, but some people are at higher risk.
You could get hepatitis B through contact with an infected person's blood, semen, or other body fluid.
Hepatitis B usually has no symptoms.
Adults and children ages 5 and older sometimes have jaundice or other symptoms.
Hepatitis B usually is not treated unless it becomes chronic.
Hepatitis B is chronic when the body can't get rid of the hepatitis B virus.
Children, especially infants, are more likely to develop chronic hepatitis B.
Chronic hepatitis B is treated with drugs that slow or stop the virus from damaging the liver.
You can protect yourself from getting hepatitis B by getting the hepatitis B vaccine.
See your doctor right away if you think you've been exposed to the hepatitis B virus.
If you are at higher risk of hepatitis B, get tested. Many people
do not know they are infected. Early diagnosis and treatment can help
prevent liver damage.
Pronunciation Guide
adefovir (ad-DEF-oh-vihr)
angiomas (an-jee-OH-muhs)
biopsy (BY-op-see)
chronic (KRON-ik)
cirrhosis (sur-ROH-siss)
entecavir (INT-ih-CAH-vihr)
hepatitis (HEP-uh-TY-tiss)
inflammation (IN-fluh-MAY-shuhn)
interferon (IN-tur-FIHR-on)
jaundice (JAWN-diss)
lamivudine (luh-MIH-vyoo-deen)
peginterferon (PEG-IN-tur-FIHR-on)
telbivudine (tel-BIH-vyoo-deen)
vaccine (vak-SEEN)
virus (VY-ruhss)
Reprinted from National Digestive Diseases Information Clearinghouse.
For More Information
American Liver Foundation
75 Maiden Lane, Suite 603
New York, NY 10038-4810
Phone: 1-800-GO-Liver (1-800-465-4837) or 212-668-1000
Fax: 212-483-8179
Email: info@liverfoundation.org
Internet: www.liverfoundation.org
Hepatitis B Foundation
3805 Old Easton Road
Doylestown, PA 18902
Phone: 215-489-4900
Fax: 215-489-4913
Email: info@hepb.org
Internet: www.hepb.org
Hepatitis Foundation International
504 Blick Drive
Silver Spring, MD 20904-2901
Phone: 1-800-891-0707 or 301-622-4200
Fax: 301-622-4702
Email: hfi@comcast.net
Internet: www.hepfi.org