Can Hepatitis B Recover Without Being Treated?

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, I checked the HBsAg results were positive. Check the HBeAg results were Reactive, I also checked the HBV DNA results 9.70×10 ^ 2 Log 2.99 IU / mal 5.64×10 ^ 3 Long 3.98 cookies. what I want to ask is Hepatitis B can I recover without treatment? Thank you

1 Answer:

Hello Rathna Ninksih,

Hepatitis B is inflammation of the liver caused by hepatitis B virus infection. This infection is transmitted through sexual contact with hepatitis B sufferers, the use of syringes in exchange with hepatitis B sufferers, transmitted from mother to child during labor, the use of needles (including procedures) making tattoos, eyebrows / lips etc.) contaminated with hepatitis B virus, and unsafe blood transfusions (rare).

Chronic hepatitis B (long-term + chronic) causes damage to the liver to liver cirrhosis or liver cancer (hepatocellular carcinoma). Patients with hepatitis B infection can experience acute symptoms or no symptoms at all. Some of the symptoms that can appear during an acute hepatitis B infection are:

 Nausea Fever is not high No appetite Upper right abdominal pain Yellow Lung In severe inflammation of the liver can occur: decreased awareness, ascites (abnormal fluid in the abdominal cavity), blood clotting disorders Examination of blood serology can determine the status of a person's hepatitis B infection.

 HBsAg can be positive in acute and chronic hepatitis B infections. HBsAg which remains positive for> 6 months, indicates that the patient has a chronic hepatitis B. HbeAg is an indicator of viral replication. Reactive HBs indicate that in an acute infection with hepatitis B. HBV DNA is an examination to determine the viral area which also determines the replication of the virus in the body and how infectious (contagious) the patient is. High levels of HBV DNA indicate an active viral replication process, infectious patients (can transmit it to others) and patients have a higher risk of developing liver cancer later in life as a complication of hepatitis B. To determine the need for therapy or not, the doctor will also see the results of your liver function tests (ALT / AST or other names SGOT / SGPT). Because the existing antiviral therapy, is not a specific therapy for hepatitis B and has a variety of risks of side effects, so only patients who meet the criteria of the examination given that therapy. There are various different therapeutic protocols, for example from WHO, hepatitis B patients who need drug therapy are:

 Age> 30 years Persistent increase in ALT HBV DNA> 20,000 IU / ml In other protocols there are other criteria for administration of antiviral drugs. I think the doctor who treats you is more aware of this and in your condition there is no need for therapy in the form of antiviral drugs.

Some patients with acute hepatitis B infection can experience seroconversion to be negative due to the body's own immune process, but some remain positive and become chronic hepatitis. Therefore, periodic serological examination observations are needed to see whether there is any seroconversion.

It's also good for couples and children to be tested for hepatitis B status. Thus the explanation from me, hopefully useful.

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