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Hi Doctor,
Recently my would-be was informed by a doctor (who was going through her medical history file for a regular checkup), that she is HBsAg reactive
and she should inform the same to me because We are planning to get married by November this year. She came to know of the ailment in 2011 itself
during a blood test for some other ailment. At that point of time, doctor did not inform her much of the disease and its related do's and don'ts.
Now that she is told all about the Hepa-B, she is kinda worried.
I have these questions below.
1. Can we know from when (how long) she is carrying this ailment ?
2. What is next for her to do ?
3. What is next for me to do ?
4. What are the don't for both of us ?
5. what we should do/don't when we plan to have a baby ?

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replied August 11th, 2015
General Q and A Answer A53370
Welcome to e health forum.

Based on the history, presence of only HbSAg in the blood would be a indicator of Acute Hepatitis B infection.

Acute hepatitis B usually subsides two to three weeks after symptoms appear, and the liver function usually returns to normal within 16 weeks, and does not require medical treatment.

If very severe, symptoms such as vomiting or diarrhea are present, the affected person may require symptomatic treatment to restore fluids and electrolytes. There are no medications that can prevent acute hepatitis B from becoming chronic.

People acutely infected with HBV can spread the virus to others through sexual contact, or contact with their blood or bodily fluids. Hence you should use protection while your partner is positive for Hepatitis B.

Acute hepatitis B patients recover completely within six months and develop antibodies that give them a life-long immunity. Once repeat tests indicate absence of HbSAg, and Presence of Antibodies to HbSAg in the body, it would be a indicator that a person is aquired immunity to Hepatitis B.

If both of you are clear from the infection, then you do not have to worry about the disease affecting your plans to raise a family together.

But If HbSAg & HbeAg is positive, then it would be a indicator of chronic Hepatitis B.

Chronic hepatitis B infection : Treatment depends on the degree of liver damage which in turn is related to the amount of active, replicating (multiplying) virus in the blood and liver. Regularly measuring the amount of HBV DNA ('viral load') in the blood gives a good idea of how fast the virus is multiplying.

Antiviral therapy is not appropriate for everyone with chronic HBV infection. It is reserved for people whose infection is most likely to progress to active hepatitis or cirrhosis.

You might consult with your doctor and seek a proper advice.

I hope the information provided here is helpful.

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