Is hepatitis B cirrhosis contagious?

Written by Zhang Jian Kang
Infectious Disease
Updated on September 08, 2024
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If hepatitis B is not well controlled, it can easily lead to the occurrence of cirrhosis. After the hepatitis B virus infects the human body, it causes repeated inflammatory damage to the liver, with recurring abnormalities in liver function. If during this period there is no formal antiviral treatment or lack of attention, it is very likely to lead to the development of cirrhosis. Once cirrhosis from hepatitis B occurs, it is generally irreversible. Cirrhosis due to hepatitis B is also an infectious disease, and its level of infectiousness mainly depends on the presence of the virus. If the viral load is positive, indicated by a positive HBV-DNA test, then it is infectious. If HBV-DNA is negative, then it is not infectious. Therefore, whether cirrhosis from hepatitis B is infectious primarily depends on the level of HBV-DNA.

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Written by Wu Hai Wu
Gastroenterology
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Is early-stage cirrhosis treatable?

Whether early symptoms of cirrhosis can be treated depends on the cause of the cirrhosis. If the cause of the cirrhosis is clear and can be effectively suppressed, then the early symptoms of cirrhosis can be effectively treated. For example, if the cirrhosis is caused by chronic hepatitis B virus infection, then the use of antiviral drugs such as entecavir, tenofovir, and adefovir can effectively control the further development of cirrhosis. However, if the cirrhosis is caused by autoimmune liver diseases or cholestatic liver cirrhosis, the treatment might not be as effective, because there are no specifically effective treatments available for these diseases. (Medication should be used under the guidance of a physician)

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What will happen if someone with cirrhosis occasionally stays up late?

Patients with cirrhosis occasionally staying up late may also exacerbate the extent of liver function impairment, thereby accelerating the progression of cirrhosis and causing some complications such as spontaneous peritonitis, liver failure, hepatic encephalopathy, etc. Therefore, patients with cirrhosis should also not stay up late occasionally. Patients with cirrhosis should pay attention to rest, combine work with rest, avoid staying up late, and avoid eating overly spicy and stimulating food. They should also consume more fresh vegetables and fruits rich in vitamins, regularly check liver function, and take treatments targeting the cause of cirrhosis and liver protection, etc.

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Written by Wu Hai Wu
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Is stool black in the early stages of cirrhosis?

In the early stages of cirrhosis, it is generally not common to see black stools. Patients in the early stages of cirrhosis may not experience complications associated with the condition, such as portal hypertensive gastropathy and esophagogastric varices, nor would they likely suffer from peptic ulcers, etc. However, if patients with cirrhosis do not actively seek treatment or undergo regular check-ups, they could develop conditions like peptic ulcers and possibly esophagogastric varices that may rupture and bleed, leading to black stools. If black stools occur, it is important to promptly complete an endoscopic examination to confirm the diagnosis. Under endoscopy, hemostatic treatment should be performed. It is also crucial to actively rehydrate, suppress gastric acid secretion, and protect the gastric mucosa among other treatments.

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Written by Wang Ji Zhong
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Symptoms of alcoholic liver cirrhosis

Long-term alcohol consumption can lead to alcoholic liver disease, with alcoholic liver cirrhosis being one of its main manifestations. Initially, it presents with reduced liver function, symptoms such as loss of appetite, abdominal pain, bloating, vomiting, aversion to oily foods, diarrhea, and nausea, which are indicative of hepatitis. Additionally, there may be darkening of the skin, menstrual irregularities, and even signs like liver palms and spider angiomas due to metabolic disorders. Furthermore, disruptions in carbohydrate metabolism can lead to nutritional excess, increasing lipid levels in the body and leading to fatty liver and hyperlipidemia. There can also be abnormal protein synthesis, resulting in ascites, pleural effusion, and other symptoms of liver dysfunction. Additionally, abnormalities in vitamin metabolism can cause rough skin and edema. Coagulation factors are often abnormal as well, leading to symptoms such as bleeding gums and nosebleeds. Therefore, it is crucial to seek medical attention promptly in these situations to restore normal health.

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Do I need to take liver-protective medicine in the early stages of cirrhosis?

As for whether it is still necessary to take liver-protective medication in the early stages of cirrhosis, it depends on whether there is liver function impairment in patients with early-stage cirrhosis. If there is liver function impairment, such as elevated transaminases and bilirubin, then it is necessary to take some liver-protective medications. If liver function is normal, then it is sufficient to treat only the cause of the disease. For example, if cirrhosis is caused by chronic hepatitis B virus infection, but the patient's liver function is normal, then antiviral treatment alone is sufficient. If the cirrhosis is due to alcohol abuse, then strict abstinence from alcohol is required, and the condition can generally be stabilized.