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Dr Usman Javaid
Dr Usman Javaid
Gastroenterologist
Liver & Hepatology

Hepatitis B — treatment in Lahore

Also known as: HBV · Hepatitis B Infection · Chronic Hepatitis B

Hepatitis B is a viral infection of the liver caused by the Hepatitis B Virus (HBV). It can cause both acute illness and chronic infection, the latter of which can lead to cirrhosis and liver cancer if untreated.

Dr Usman Javaid
Medically reviewed
Dr Usman Javaid · MPH, FRSPH (UK)
Last reviewed
Evidence-based

Overview

Hepatitis B is one of the most common chronic infections in Pakistan. With proper monitoring and, when needed, antiviral therapy, the liver stays protected and transmission to family members can be prevented.

Hepatitis B affects an estimated 3–5% of adults in Pakistan
Most chronic carriers have no symptoms for decades
Modern antivirals control the virus indefinitely — Hepatitis B is currently controllable, and new functional-cure therapies are in late-stage trials

Signs & symptoms of Hepatitis B

If you recognize one or more of these, it may be worth a consultation:

  • Often silent for years
  • Fatigue, mild jaundice in some
  • Right-upper-abdominal discomfort
  • Detected on routine bloodwork

Causes & risk factors

Several factors can contribute to Hepatitis B. Identifying yours guides the treatment plan.

  • Mother-to-child transmission at birth
  • Contact with infected blood
  • Sexual contact
  • Sharing needles, razors, or shaving instruments
  • Unsafe medical or dental procedures
  • Tattoos and piercings in unregulated settings

How Hepatitis B is diagnosed

We order tests selectively — only what changes the plan.

  • HBsAg, HBeAg, anti-HBe
  • HBV DNA viral load
  • Liver function tests
  • FibroScan / ultrasound

Treatment options

Treatment for Hepatitis B is personalized — the right plan depends on your symptoms, test results, and life situation.

  1. 1 Long-term oral antivirals (tenofovir, entecavir) in selected patients
  2. 2 6-monthly monitoring for inactive carriers
  3. 3 Liver cancer surveillance with ultrasound + alpha-fetoprotein
  4. 4 Vaccination of family members
Prognosis & outlook

Most adults clear acute Hepatitis B without treatment. Those who develop chronic infection can live full, healthy lives with monitoring — and antiviral therapy when indicated keeps the liver protected.

Can Hepatitis B be prevented?

Simple, evidence-based steps that reduce your risk.

  • Hepatitis B vaccination — safe, highly effective
  • Avoid sharing razors or toothbrushes
  • Use sterile equipment for any skin-piercing procedure
  • Test partners and family members

When should you see a doctor about Hepatitis B?

Reach out without delay if you notice any of the following.

  • Positive HBsAg test
  • Family member newly diagnosed
  • Unexplained fatigue and elevated liver enzymes
  • Pregnancy and HBV-positive — needs urgent care for the baby

Frequently asked questions about Hepatitis B

Is Hepatitis B curable? +

Acute Hep B clears on its own in most adults. Chronic Hep B is currently not curable but very well controllable with antivirals — patients live normal lives with proper monitoring.

Can I have a normal pregnancy with Hepatitis B? +

Yes. Babies born to HBV-positive mothers must receive Hepatitis B immunoglobulin plus the first vaccine dose within 12 hours of birth — this prevents transmission in over 95% of cases.

Do I need to tell my family I have Hepatitis B? +

Yes, family and household members should be tested and vaccinated. Sexual partners should also be tested and vaccinated. This is the most effective way to prevent further transmission.

Will I need a liver transplant? +

Most patients never do. With early diagnosis and proper antiviral therapy, the vast majority of chronic Hep B patients never progress to cirrhosis or liver failure.

Dr Usman Javaid
Author & medical reviewer

Dr Usman Javaid

Gastroenterology & Medicine Diplomat · DIP (Gastro) UK · DIP (Hepatology) UK · DIP (Diabetes) UK · MCPS FM-TC · MPH · FRSPH (UK) · FRCP (Colombo) · Organ Transplant Advisor · CHPE (NUMS) · Preventive Medicine Specialist · Owner of Javaid Poly Clinic.

This page was medically reviewed by Dr Usman Javaid on . Content is updated when new evidence or guidelines emerge.

Medical disclaimer: This page is for educational purposes and does not replace medical consultation. If you have symptoms of Hepatitis B or any other condition, please book a consultation. In emergencies, call 1122 or visit your nearest emergency department.

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