confused about Hep B.

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amte
Regular Member


Date Joined Nov 2005
Total Posts : 221
   Posted 1/8/2007 5:42 PM (GMT -7)   
Hi, I'm new to this Hep B thing- a dear friend has chronic Hep B and I'm trying to learn all that I can. I'm wondering what the difference is between "having" Hep B and having chronic Hep B. Do people take drugs for chronic Hep B? I dont think my friend is taking any and it scares me. Also... I am a bit concerned with how it's passed. Is chronic Hep B less likely to be passed than full blown hep B, are all they all the same? And can it be passed through oral sex?
 
(it can't be passed through kissing, can it..?)
 
sorry if my questions are dumb, I'm just trying to get clear answers. Thanks!

wheredidigo
Veteran Member


Date Joined Mar 2006
Total Posts : 605
   Posted 1/9/2007 3:38 PM (GMT -7)   
First of all,there is acute hep b,which your own body kicks out ,usually within 6 mths,,,chronic hep b means you have hep cells still in your body following an acute infection of it,,,,,active chronic means you have hep cells AND it is actively multiplying in your system. That is my understanding at least. Hep b IS passed through sexual contact,but also through razors,hairbrushes,toothbrushes,,ect,,,actually the dr told me it can be passed through saliva if its chronic active,,,I dont have to worry about it because I had an acute case of hep b,and I now have antibodies,,,btw my husband has chronic active hep b,,,,the important thing to know about hep b is,,,,,,,there is a vaccination for it! If you are living in a household with someone who has hep b,or have close relations with them,you should definately get vaccinated,,,,,,for that matter get vaccinations anyway! there are a few treatments for hep b,,,,,interferon,barraclude,,,,and a few others,,,,,,is your friend seeing a hepatologist or a GI dr with special knowledge of hep? if not PLEASE try to get him to a specialist,,,,,,,so many drs dont know alot about hep ,even specialist sometimes dont know,unless its something they have dealt with alot,,,,,,we take all the precautions at our house,including all members of family vaccinated, no sharing of ANY brushes,washrags,glasses,ect,,,,anything that even a small amount of blood could be on and transfer to someone else...again,vaccination is the best bet to keeping yourself and others safe from exposure,,,,also have your dr run a test to make sure after the 3 series vaccination,that you have antibodies built up in your system,,as I was in the small percentage of ppl that was vaccinated and it did not take,,,,,got it on my wedding weekend ,,,hubby didnt know he had it until I developed a severe acute infection that I almost died from,,,,,good luck and I do hope your friend seeks out the advice of a good specialist ,,,,,,,take care and let us know how your doing and how your friend is.
trish
 
 
Life should NOT be a journey to the grave with the intention of arriving safely in an attractive and well preserved body,but rather to skid in sideways,chocolate in one hand,wine in the other,body used up ,totally worn out and screaming"WOOOOHOO WHAT A RIDE!!!" 


Sar
New Member


Date Joined Mar 2007
Total Posts : 1
   Posted 3/1/2007 1:52 PM (GMT -7)   
Hepatitis B Viral or HBV for short has several geno typs each of which behave differently. HBV+a(geno a) is the dna strand most of North america and northeren Europe have come to know. this is the strand nicknamed by some the STD strand for wich Interferon-A and barraclude work well for most, however other strands like HBV+g is not contagious through sexual contact or saliva, infact in has to be a direct blood to blood transfusion or prenatal transfusion, this is where the mother infects the child during the birthing process, during situations like this only an immideate vaccination boost can be used to attempt to eliminate infection. after wich any vaccines in life wouold be muted since the person already carries the virus. Another thing to remember is one never actualy gets rid of HBV even if they where only diagnosed with acute HBV the virus simply goes Dormant and it is possible to become ill later in life as well as raising your chance to have liver problems. If you have ever been diagnosed with HBV you should always moderate your alchole, and pain meds. Bact to medications for hepatitis if the person does not have HBV+a than they should NOT use Interferon-A or Baraclude(Entecavior a former HIV med), Consult your Dr and ask about Hepsera, the first medicin origionally desighned for beating HBV into submission.

Alf(American Liver Foundation) has infoas well as Hepsera, and HepBfoundation.

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 3/1/2007 5:18 PM (GMT -7)   
"...one never actualy gets rid of HBV even if they where only diagnosed with acute HBV the virus simply goes Dormant"
 
Unless I'm misunderstanding, this statement is contradictory to what my doctor told me.  I have had hep B and my immune system threw it off, and I have antibodies for B (not so lucky with C.)  She said this meant I could never get it again or give it to anyone.
 
Whether a person is in the acute or chronic active stage, cautions should be taken.  Same with hep C.  Unfortunately, there is no vaccination yet for hep C, but precautions are also fewer as it is blood borne only.  I do agree that everyone in the household should get vaccinated against hep B.

wheredidigo
Veteran Member


Date Joined Mar 2006
Total Posts : 605
   Posted 3/2/2007 5:07 PM (GMT -7)   
That was my understanding too Connie, my dr said NO chance of me still having hep b,,,my body would not have antibodies if the virus was still present. I actually grilled him about the possibility of me having problems later on because of this,,,,,he said no,none, your body fought if off,it is gone,,,,,,now when your own body doesnt fight it off,he said at that point, you will not get rid of it,ever,,,,,just put into remission, if your lucky. I have heard of hepsera, the dr actually told hubby barraclude is best, at least for his genotype, so lets hope it is working. He refuses to go back on interferon,,,he cant take what it was doing to his body. he was on it for 8 mths,and his viral load went up instead of down. I really worry about the effects of these meds on ricks heart,,,trying to get one problem under control, and ya think,,,,are we aggrevating another? :sigh:
trish 
Moderator for Hepatitis Forum 
 
Life should NOT be a journey to the grave with the intention of arriving safely in an attractive and well preserved body,but rather to skid in sideways,chocolate in one hand,wine in the other,body used up ,totally worn out and screaming"WOOOOHOO WHAT A RIDE!!!" 


Rick Roma
Regular Member


Date Joined Jun 2007
Total Posts : 37
   Posted 6/29/2007 10:43 AM (GMT -7)   
I have a few questions..... last year I came down with a very high fever suddenly.. and thought I had the flu..... then I noticed my urine was a strange color.... I went to my doctor and he said to me. Your skin is a little yellowish I did not seem to notice this.... from checking out my liver. Count high... I would think you have hepatitis, A... I was wondering, how do they decide whether you have ABC... I was very ill for a few months... there was no medication given to me... just back-and-forth checking my liver....... eventually started to recover..... my doctor said to me contaminated food could of been the culprit..... although I am sexually active.... that was 1 question. The other is... did it really come from food.?..... was told the same thing about building up antibodies and that I would not get hepatitis A again.... Richard.....
There is a special church here nestled deep
in the forest.... a beautiful bell hangs at the very top.... it only stops ringing.  When you come through the forests for your voice takes its place....   Richard


hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 6/29/2007 8:40 PM (GMT -7)   
Richard, hep A generally is contracted through contaminated food, especially in other countries. There are specific blood tests for B and C. Not sure about A.

I also wanted to note that hep B is often contracted through shared needles in illicit drug use.

There are vaccinations for A and B, but not yet for C.

Connie

scaredtodeath_huhuhu
New Member


Date Joined Sep 2007
Total Posts : 1
   Posted 9/6/2007 6:44 AM (GMT -7)   
hi, im not really answering your query but i do have questions of my own regarding this hepatitis B thingy... a week ago i was exposed to another person's blood and i had a broken skin in my thumb... i'm not sure if that person has hepatitis or HIV even but in our country hepatitis is the most popular blood borne disease... when can i find out if i am infected? is there any blood tests that would determine if i have it even without me manifesting symptoms..? i do feel tired though (maybe because i'm working...) and i am terribly horrified because i searched the net and they say that feeling tired is one of the symptoms... i am terribly scared... when will i find out if i have a chronic hepatitis? is there a blood test that could determine if my immune system is fighting the disease... is there anything i could do this early for me not to get the chronic hepatitis? i'm sorry if i sound stupid or paranoid... but i just can't leave this to fate...
by the way, i had 3 shots of the hepatitis vaccine 5 years ago... nobody told me to get a booster shot... then after the exposure i went to a doctor who practices family medicine and just ordered for me to have a quantitative analysis for my hepa b antibodies and the result showed that i didn't develop any... and she just made me get a booster shot for the hepa vaccine... ? is that enough?
i am terribly horrified with what happened... and i could not sleep easy at night... i've been blaming myself for being careless... and i just could not forgive myself if i indeed have it or worse... than hepatitis... i feel like it's the end for me...
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