Hepatitis B virus is transmitted by exposure to infectious blood or body fluids like semen and vaginal fluids. Most of the cases of hepatitis B cure spontaneously and may not require treatment. A repeat test after 6 months may help in detecting whether you have cleared the virus or if the infection is persisting. In patients with hepatitis B infection almost in one in five cases the infection goes into a chronic phase. In this condition the person can be carrying and shedding the virus but may be apparently healthy with no symptoms. They are known as healthy carriers. If a person is hep B positive he will need additional tests to determine whether the infection is new or old, whether it is harmful or not and if you need treatment. You will need tests for hepatitis B surface antibody and hepatitis B core antibody. All three test results are needed in order to make a clear diagnosis. Results of the tests are typically evaluated together. People who are chronically infected and have persistently elevated SGPT which is a marker of liver damage, and HBV DNA levels may need antiviral therapy. Consult a hepatologist. Keep me posted.
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