Acute hepatitis B

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It is an inflammation of the liver caused by the hepatitis B virus.

It is transmitted by contact with contaminated blood or biological fluids. It is most frequently transmitted by contact with blood from a wound or sexually through contact with infected body fluids.

At the beginning, the usual symptoms of other viral infections appear: tiredness, muscle pain, low fever, headache, stomach pain, nausea and diarrhea. Later, characteristic symptoms appear: yellowing of the skin and mucous membranes (jaundice), darker than normal urine (choluria) and pale stools (acholia).

The diagnostic suspicion is clinical, by interrogation and physical examination. It is confirmed by blood tests (serology).

Symptoms should be treated with analgesics, antipyretics and antiemetics, ensuring proper hydration. Very severe cases or chronic infection can be treated with antivirals.

Bibliographic references
  1. Anna SF Lok. Clinical manifestations and natural history of hepatitis B virus infection. Uptodate. Sep 2016
  2. M. Bruguera. Hepatítis vírica aguda. Farreras Rozman. Medicina Interna. Volumen I. Duodécima edición. Pág: 290:297
  3. J.M.Sánchez-Tápias. Hepatitis crónica. Farreras Rozman. Medicina Interna. Volumen I. Duodécima edición. Pág: 302:304.
  4. Julesl. Dienstag. Hepatitis viral aguda. Harrison. Principios de Medicina Interna. Volumen 2. 19ª Edición. 2005:2022.
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Yellow tinge to skin and mucous membranes


    Yellow-tinged eyes


    Whitish stools


    Upper right abdominal pain


    Nausea

Symptoms to watch out for

Reduction in the level of consciousness
Abdominal distention
Change of skin coloration to yellow
Difficulty talking
Swelling of feet or ankles

Self-care

Take over-the-counter pain relievers or anti-inflammatories.
Use antiemetics if vomiting occurs.
Talk to your doctor about medications that are toxic to the liver.
Consult your family doctor about the prescription for antiviral treatment.
Eat a balanced diet: increase consumption of fruits, vegetables, and white meats, and reduce consumption of fatty and fried foods.
Get regular physical activity at least 3 times a week that is appropriate for your age and physical condition.
Avoid sexual intercourse and, if you do have sex, use barrier methods such as condoms.