As a Hepatitis B carrier, how is my life and life expectancy affected?

Doctor's Answers 1

Photo of Dr Wai Leong Quan
Dr Wai Leong Quan

Gastroenterologist

Most people with chronic hepatitis B infection, otherwise also known as hepatitis B carriers, live normally and have a normal life expectancy. They participate in all kinds of activities and sports and in most countries in the world, gainfully employed in various industries.

There are a few points which hepatitis B carriers should take note to ensure they remain well. The most important is to have regular reviews with their doctors. This is because the term "carrier" tends to wrongly suggest a benign course and most people who are chronically infected with hepatitis B feel well. The misguided assumption that the medical reviews are useless comes with a hefty price.

Possible complications of chronic hepatitis B infection includes slow inflammation of the liver, progressing to liver hardening, also known as liver cirrhosis. Once the liver hardens, it will fail to function normally and may result in jaundice, abdominal swelling as well as vomiting fresh blood. Liver cancer can develop silently in many cases without regular monitoring. These complications will drastically affect one's life expectancy.

Often enough, people with hepatitis B infection require long term oral anti-viral treatment to prevent complications and disease progression. Cancers developed in the liver can also be effectively treated with local regional therapy if discovered early. All the above treatment will achieve their best outcome only if implemented at the right time through regular follow-up investigations and reviews.

- Dr Quan

Similar Questions

What are the implications if I am a non-responder to the hepatitis B vaccination?

Just to add on to the advice Dr Ti has provided, non-responders who have a strong family history of Hepatitis B carrier status should be aware of this entity known as "occult Hepatitis B" infection. This is a rare condition in which routine Hepatitis B surface protein test (aka HBsAg) is negative yet the person is actually a Hepatitis B carrier. This is the reason why repeated vaccination attempts will not induce antibody formation in that person since he or she is already infected with the virus.

Photo of Dr Wai Leong Quan

Answered By

Dr Wai Leong Quan

Gastroenterologist

When should I see a doctor regarding rectum bleeding if I’m worried about colon cancer?

If you truly have reasons to worry about having colon cancer, please do not delay any longer. It is a well-known fact that survival is best when colon cancers are detected early. If you are 50yr and above or having a significant family history of colon cancer or you have a past history of colon polyps, you automatically fall into a higher risk group for having colon cancer. So many have made the mistake of assuming a benign cause of bleeding just because one has a past history of haemorrhoids. Such assumptions may result in unnecessary delay in making the right diagnosis.

Photo of Dr Wai Leong Quan

Answered By

Dr Wai Leong Quan

Gastroenterologist

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