Q. Is it fine to have hepatitis B symptoms for a week only?

Answered by
Dr. Lohit Chauhan
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Mar 11, 2019

Hello doctor,

Please, I was diagnosed with hepatitis B positive last week. I had the symptoms for about five days but now I am feeling better without any symptoms. What does that mean?

Dr. Lohit Chauhan

General Medicine Internal Medicine
#

Hello,

Welcome to icliniq.com.

I need to know these things first.

1. How did you come to know about having hepatitis B, usually HBsAg (surface antigen) is detected in the routine kits?

2. Had there been, any past history of jaundice?

3. Were you immunized for hepatitis B in the past?

4. Were there any other tests performed to check for chronicity of hepatitis B?

What happens in hepatitis B is if the virus is not acquired by birth (like acquired during adult life), the body can clear the infection in about 90 to 95 percent of the patients, but in about 5 percent cases the chronicity develops. But, if the virus is acquired from mother at the time of birth, then the chances of hepatitis B, being chronic are very high. If one has been immunized for hepatitis B in the past and active immunity has developed, then even if the body gets an infection from hepatitis B, the body can eliminate the virus on its own.

You should get yourself tested for chronicity for hepatitis B, for that get yourself tested for IgM anti-HBc (antibody against core antigen), if it is positive there are high chances you had an acute infection which your body can fight out most of the time (~95 %), but, if it is negative then you need to get yourself worked up for chronic hepatitis B, and if eligible, should start treatment.


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