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Hepatitis B - Symptom, Treatment And Causes

What is Hepatitis B?

HBV or hepatitis B virus causes liver inflammation which is known as Hepatitis B. HBV is just one of the five kinds of viral hepatitis. The other types of hepatitis are E, D, C and A. The HBV infection might be chronic or acute in nature. If the hepatitis B infection is chronic, the symptoms would show up quicker in adults. Children manifest acute hepatitis B symptoms rarely. The chances of any HBV infection in children are far likelier to be chronic. Chronic hepatitis B has a slow development period. Symptoms might not get noticed till the time any complications arise. Hepatitis B can be highly contagious in nature. It can spread via contact with saliva, infected blood and different body fluids. Symptoms might not show up for a few days post virus exposure. However even without any symptoms, the infection can progress.

Possible ways of transmission are:

Possible ways of transmission are:

  • An infected mother transmitting it to the baby at the time of birth.
  • A needle prick injury
  • Close proximity with someone having HBV
  • Engaging in oral, anal and vaginal sex
  • The use of an infected razor or toothbrush

HBV infection has a greater risk of developing if:

  • Men having sex with men
  • People having multiple sexual partners
  • Individuals above 60 years of age and having diabetes
  • People having kidney disease
  • Individuals having chronic liver disease
  • Individuals who have travelled to countries having higher incidence of the infection

Requested or routine screening tests can usually help doctors in diagnosing HBV. A patients might require screening for HBV if:

  • They come in close proximity with someone having hepatitis B
  • They have recently visited a country with high Hepatitis B rates
  • They have been to prison
  • They indulge in drug usage
  • They have kidney dialysis performed on them
  • They are pregnant
  • They are men having sex with other men
  • They have an HIV infection
  • The doctor may perform a few blood tests for screening hepatitis B


Consult your doctor immediately if you have symptoms of hepatitis B. Infection can be prevented by administering a HBV immune globin injection. This antibody solution works against HBV. Acute hepatitis B doesn’t usually require treatment. Most people can overcome acute infections by themselves. Bed rest however helps in a quicker recovery. Antiviral medicines help treating chronic hepatitis B. They help in fighting the virus better. They also might lower the risks of any liver complications in the future.

Treatable by medical professional Require medical diagnosis Lab test always required Short-term: resolves within days to weeks Spread by sexual or direct blood contact
Yellowing of the eyes Abdominal pain and dark urine.

Popular Health Tips

Hepatitis C Treatment

FELLOWSHIP IN HEPATOBILIARY AND LIVER TRANSPLANT SURGERY, Fellowship in Abdominal Multi Organ Transplant Surgery, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Gastroenterologist, Delhi
Hepatitis C Treatment

Hepatitis B and C, both can cause cirrhosis of liver and liver failure. Till recently, there was no effective medication for Hepatitis C infection. Hence, it was considered a more serious problem than hepatitis B. With latest medications, the latest cure for Hepatitis C has dramatically changed the management of this disease. Earlier, patients who were doomed for liver failure and liver cancer beacuse of Hepatitis C now have a definite cure available.

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Hepatitis - What Are The Causes Of It?

MBBS, MD-General Medicine, DM-Gastroenterology, Advanced endoscopy fellowship
Gastroenterologist, Visakhapatnam
Hepatitis - What Are The Causes Of It?

Hepatitis is an inflammatory condition of the liver which may often progress to dangerous complications. There are many types of hepatitis and each has its own particular set of causes, symptoms, mode of contraction and treatment procedures. Here are the main types of hepatitis as well as some of the factors which may cause hepatitis:


  1. Hepatitis A: Hepatitis A virus infection causes this condition. The Hepatitis A virus comes from food or water contaminated with the feces of someone contaminated with hepatitis A. This is not a chronic form of hepatitis.
  2. Hepatitis B: This is a chronic form of hepatitis. It spreads through body fluid such as blood, saliva and semen. The possible causes of hepatitis B include injection drug use, having sex with an infected partner and sharing razors or other intimate articles with someone who is infected.
  3. Hepatitis C: This is also a chronic form of hepatitis.The most common causes of hepatitis C are injection drug use or having sex.
  4. Hepatitis D: This is a not a chronic form of hepatitis and is also very uncommon. It is usually contracted along with hepatitis B. It is usually caused due to puncture wounds or contact with infected blood.
  5. Hepatitis E: This is the most uncommon form of hepatitis. It is due to poor sanitation and ingesting fecal matter. It is usually found in developing countries.


  1. NASH: Nonalcoholic steatohepatitis (NASH) is liver inflammation and damage caused by a buildup of fat in the liver. It is part of a group of conditions called nonalcoholic fatty liver disease
  2. Virus: This is the usual way of contracting hepatitis. The virus attacks the liver and causes inflammation leading to the breakdown of a number of body systems.
  3. Alcohol and other toxins: Alcohol and certain prescribed medications cause the liver to swell and that is why this form of hepatitis is known as alcoholic hepatitis.
  4. Autoimmune disease: This is the rarest cause of hepatitis.  The immune system malfunctions and begins destroying its own tissues. It attacks the liver because it perceives the liver to be a foreign object.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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Hepatitis B - Know About Its Treatment and Care!

MBBS, MD - General Medicine, DM - Gastroenterology, MNAMS
Gastroenterologist, Faridabad
Hepatitis B - Know About Its Treatment and Care!

Hepatitis B is a condition that causes inflammation of the liver because of the Hepatitis B Virus (HBV). In India, about one million people are at the risk of being infected with HBV every year. It is unfortunate that this number is huge given the fact that Hepatitis B is a preventable disease. You just need to be vaccinated to stay safe. Untreated Hepatitis B increases the risk of liver failure and liver cirrhosis. Your treatment would depend on whether your Hepatitis B infection is acute or chronic.

Seeing the doctor
If you have not gotten your Hepatitis B vaccine yet, visit your doctor and get your shot of the vaccine as early as you can. When in doubt, the vaccine helps keep you safer.
Common symptoms of the disease include abdominal pain, lack of appetite, darker urine, yellowing of the skin, fever, joint pain and so on. In such cases, take an appointment with a gastroenterologist or a hepatologist right away.

Treatment options
Not all infected people may need treatment. For acute infection which is not long lasting, your doctor might advise you to drink plenty of fluids and bed rest for recovery.

In case of chronic Hepatitis B, the treatment is long-term, depending on how strong the virus is inside the body. Treatment at the right time also prevents you from passing on the infection to people around. The common treatments practised are:

  1. Letting the virus take its course - bed rest, intake of healthy food and fluids
  2. Anti-viral medication - prevents multiplication of virus
  3. Interferon alfa-2b injections – the manmade version of the substance your body creates naturally to ward off infections. This is a quicker way to get healthy and is chosen for people who do not prefer long-term treatments
  4. Liver transplant – For extreme conditions with severe liver damage

Post-treatment care
No treatment is complete if you are not taking an effort to bounce back to normalcy. Once you have been diagnosed with Hepatitis B, do your bit to make things better.

  1. Learn the right information about the disease and this way, you can reduce your level of stress and panic
  2. Be in constant touch with your doctors and follow up as and when required
  3. Casual contact with friends and relatives will not spread the infection. Do not cut yourself off from the society
  4. Pick healthier fruits and vegetables, stay away from alcohol, drugs, and smoking and exercise regularly

Know all about vaccinations and get your shots on time. Practice safe sex and do not share intimate items including razors, needles, and toothbrushes. Getting help at the right time will help you recover sooner.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3551 people found this helpful

10 Amazing Ayurvedic Herbs For Treating Hepatitis B!

Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Ayurveda, Faridabad
10 Amazing Ayurvedic Herbs For Treating Hepatitis B!

Hepatitis B is a viral infection, resulting in the inflammation of the liver. Hepatitis B is considered to be acute when it lasts up to six months and is tagged as chronic when the timeline exceeds six months. Some of the common symptoms of this disease are dark urine, queasiness, stomach ache, weakness and joint ache. Ayurveda is known to be an effective agent in treating Hepatitis B.

Hepatitis B is diagnosed by presence of Hepatitis B surface antigen (HBsAg) and IgM antibody to Hepatitis B core antigen (anti-HBc IgM) which develop in the serum in the early stages of infection at the time symptoms appear. Antibody to HBsAg (anti-HBs) develops after active infection and serves as an indicator of immunity. 

Anti-HBs + - individual has been vaccinated, has received immune globulin, is immune, or is an infant who has received antibodies from his/her mother. Anti-HBc + - indicates past or present infection and lasts indefinitely. May be detected in an infant who has received antibodies from its mother. IgM anti-HBc + - indicates recent infection with HBV, usually within 4-6 months. HBeAg + - indicates active viral replication and high infectivity. HBsAg + HBV - acute or chronic HBV; persistence for 6 months after acute infection indicates progression to chronic HBV. 

Treatment for Hepatitis B 

While there is no approved treatment for acute hepatitis B, few herbs which works as anti viral to HBV DNA and few as antioxident and heaptocytes protector from antigen now give the name of herbs you have given Infected individuals should practice safe sex. Avoiding contact with infected blood or other body fluids directly or on objects such as needles, razors, toothbrushes, etc., may reduce the risk of transmission. Sores and rashes should be covered with bandages and blood on any surface should be cleaned up with household bleach.

Listed below are some of the natural herbs that help in fighting Hepatitis B:

  1. Katuki: The scientific name of the herb is picrorhiza kurroa. Studies have shown that katuki increases gall bladder shrinkage. It helps in digestion by curing liver ailments. It can be consumed every alternate day to fetch fast recovery.
  2. Kalmegh: This Indian herb is better known as andrographis paniculata in the scientific community. It helps in raising the level of serum and the globulin component of protein.
  3. Poerhavin diffusa: This is part of the actual plant and is better by the name of Punarnava. It addresses blandness and dyspepsia.
  4. Tamarix gallica: Owing to its sugary taste, this herb is easily accepted by children. They have a cleansing effect on the intestine and assist in smooth blood flow of a patient suffering from hepatitis B.
  5. Terminalia chebula: This is also known as Haritaki in the Indian subcontinent and helps in decreasing the level of liver spleen. This herb should be consumed with honey on alternate days.
  6. Eclipta Alba: This herb is more commonly known as bhringraj. It helps in reviving the liver cells and clears toxins from the body. This herb has a certain rejuvenating effect on patients suffering from hepatitis B.
  7. Chicory: This is considered to be a miraculous drug, owing to its ability of revitalising the liver and kidney. It cleanses the blood and speeds up the recovery of hepatitis B.
  8. Solanum indicum: This herb has the ability to counter alkaline phosphate that damages the liver. They also have the capability to renovate the liver cells in a very quick time.
  9. Capparis spinosa: This herb has the ability to address viral hepatitis. Apart from addressing liver problems, they are also known to be extremely effective in countering anxiety and itching. It suits elderly persons. They can be consumed 2– 3 times a week in the form of an extract.
  10. Echinacea purpurea: This herb is more commonly known as the echinacia. They have the unique ability of eradicating liver ailments in a short span of time. Apart from being a favourable liver agent, echinacia can bring down swelling of the liver and also safeguard a person from getting the flu. This can be consumed as extract or mixed with fruit juice.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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Hepatitis B & C - How Ayurveda Can Treat It?

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hyderabad
Hepatitis B & C - How Ayurveda Can Treat It?

Hepatitis B and C are both viral infections of the liver caused by Hepatitis B (HBV) and Hepatitis C (HCV) virus respectively. Though the viral infections mostly affect children, adults are equally susceptible, if not more. The condition, if left untreated can have serious consequences on the liver (liver damage, scarring, liver cirrhosis and even cancer).

The symptoms for hepatitis B and C are almost similar and include:

  • Abdominal or belly pain.
  • Jaundice is one of the common and most important symptoms or medical condition associated with hepatitis B and C. The infection often interferes with the ability of the liver to filter out the bile pigment, bilirubin (the breakdown product of hemoglobin).
  • Extreme tiredness and exhaustion.
  • Nausea, loss of appetite.
  • There may be a fever and vomiting in case of hepatitis B.

In both hepatitis B and C, the infection causing virus can spread through

  • Unprotected sex.
  • From the affected person (through their blood, body fluids or open sores).
  • Use of infected needles and syringes.
  • In the case of hepatitis C, the virus can also spread from the pregnant women to her child.

Though conventional medications and treatments are available, many people go for the Ayurvedic treatments instead. Ayurveda adopts a holistic approach in treating the ailment or disease. The treatment is 100% natural and thus, have negligible or no side effects at all. The Ayurvedic treatment may be time-consuming, but it treats the condition from the base (it works towards identifying and eliminating the very underlying factor responsible for the ailment). The approach is similar in the case of hepatitis B and C. In addition to treating hepatitis, the medications also bring about a remarkable improvement in the associated symptoms (like jaundice, fatigue and nausea).

Some of the Ayurvedic medicines used to treat hepatitis B include

  1. Bhumi Amla (Phyllanthus Niruri): Bhumi Amla can be used to treat Hepatitis B and the associated symptoms successfully. The medicine lowers the bilirubin level in the blood, thus providing relief from jaundice (one of the characteristic symptoms of Hepatitis B and C). It is also an effective medicine to deal with liver failure or liver problems.
  2. Echinacea (Andrographis): The medicine has anti microbial properties and, thus, checks and prevents the growth of the HBV (Hepatitis B Virus). It also enhances the overall functioning of a person's immune system (immune booster).
  3. Arjuna (Terminalia Arjuna): People with Hepatitis B can benefit immensely from this medicine. Like Echinacea, Arjuna is also known to be an immune booster.
  4. Kaasni: The medicine is used to treat hepatitis B and liver problems. Kaasni is also an excellent blood purifier.

The ayurvedic medicine for Hepatitis C include

  1. Kalmegh (Andrographis Paniculata): The medicine comes as a relief for people with hepatitis C and liver problems. The anti-inflammatory and antipyretic properties of Kalmegh further enhances its effectiveness.
  2. Guduchi (AMBROSIA), Haritaki (TERMINALIA CHELUBA), CURCUMA LONGA are few other Ayurvedic medicines that are equally effective in treating Hepatitis C.

There are wonderful medicines in Ayurveda for improving immunity and liver function. All the Dipana pachana drugs stimulate liver. Medicines like Arogya vardhini and Puta pakwa vishama jwaranthak loha tabs significantly improve liver function. Single drugs like bhringaraj katuki punarnava are also beneficial.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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Popular Questions & Answers

HbsAg test negative on 80th day after exposure. Status is unknown of her. Today is 95th day. Can I take it conclusive or am I free from hepatitis B?

FELLOWSHIP IN HEPATOBILIARY AND LIVER TRANSPLANT SURGERY, Fellowship in Abdominal Multi Organ Transplant Surgery, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Gastroenterologist, Delhi
After exposure to Hepatitis B Virus, there is an incubation period of 1 to 4 months before it will show in blood test. You have got testing done at around 12 weeks. Instead of getting HBsAg testing again after 4 weeks you can wait for 6-8 weeks to get yourself tested. Hepatitis B can cause acute and chronic hepatitis. Acute hepatitis B is a clinical syndrome indistinguishable from other acute hepatitides and often consists of a flulike syndrome with malaise, fatigue, anorexia, nausea, vomiting, and right upper quadrant discomfort. Physical signs include jaundice and pain over region of enlarged liver (tender hepatomegaly). The likelihood of developing icteric illness is inversely proportional to age. I hope this was helpful.

Please suggest. What are the symptoms of hepatitis B and precautions to use in daily life?

Homeopath, Hooghly
High bilirubin,,fever, yellow skin,,pain in abdomen,,etc,,avoid smoking,, alcohol,, highly spicy food,,take more fruits,,do some yoga,this will help

Sir! My friend has hepatitis B by birth through his mother. His recently checked his hbsag dna & viral load is 149 mg/DL. It is complicated, had to worry about this results.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Adults with undetectable or low viral loads and no signs of liver damage are in an “inactive” stage. Adults with normal ALT (SGPT) levels, which indicate no current liver damage, and undetectable or viral loads less than 2,000 IU/mL generally do not require treatment. People in the “active” stage with elevated viral loads and signs of liver damage need treatment. Many people in their 40s, 50s or 60s, develop HBeAg-negative hepatitis B. Though individuals may have lost HBeAg, the virus has mutated over time and is able to keep replicating, putting these older patients at risk of liver damage. Doctors recommend antiviral treatment if these patients’ viral load exceeds 2,000 IU/ML and their ALT levels are elevated.
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Dear Sir ,30 year old, while going for medical test last Dec 2017 for a job, I found I am having Hepatitis B virus .HBsAG-ELISA - 6326.24 (Reactive. Can you kindly suggest me what I want to do for cure and how long it takes for cure. Whether its severe in the stage Thanks

FELLOWSHIP IN HEPATOBILIARY AND LIVER TRANSPLANT SURGERY, Fellowship in Abdominal Multi Organ Transplant Surgery, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Gastroenterologist, Delhi
Mr. lybrate-user, As you may already know Hepatitis B can cause liver failure and liver cirrhosis. But timely starting the treatment can help prevent that. Also important to note is that NOT all patients who have HBsAg positive require to be on medication. Regarding your question on what stage it is, answering it needs more information. Let me try explain in simple terms here. Hepatitis B infection can be in active or inactive 'state" Hepatitis B also causes "liver disease" which may result in liver failure or cirrhosis. So the "state" or "liver disease" are both different things. "state" can be decided on blood tests. Liver biopsy may be needed but not always required. For "liver condition" we need liver fibroscan or at least liver ultrasound. Medicines are started if one has one of the following: "state" or "liver disease" is advanced. Since you have got the hepatitis B test done, we can first see if you need treatment based on that. I will need to see your reports to let you know if you need to start treatment. You can share it with on the link below:

My wife has hepatitis B highly positive and I am weakly positive I have taken vaccination but how long does it work do I have to go for a check up.

MD - Homeopathy, BHMS
Homeopath, Vadodara
You both should take homoeopathic treatment.. to avoid the bad effects.. as its outcomes are very severe..