What should I do if I have small triple positive

What should I do if I have small triple positive

During the physical examination in the hospital, if you are diagnosed with hepatitis B virus (HBV) and hepatitis B eligibility, don't worry at this time, because hepatitis B virus (HBV) is found during the hepatitis B half-examination. The patient has hepatitis B virus in the body and is contagious. However, as a patient with hepatitis B virus (HBV) and hepatitis B eligibility, this is the first time that the disease has occurred, and how to treat it becomes a key issue.

What should I do if I have small triple positive

When I had my blood tested, I was unexpectedly found to be positive for Hepatitis B. The two doctors in the resident department repeatedly reminded me to isolate myself from my family members and gave me some medicine to treat Hepatitis B. They discharged me from the hospital a few days later. I asked three outpatient doctors in two other hospitals whether "small three positive" was contagious. They all said it was contagious and prescribed some treatment drugs.

I recently met a chief physician who said that hepatitis B "small three positive" is only transmitted through blood. Except for blood transfusions, it is not contagious to family members and does not require treatment. He also said that when his school underwent a collective physical examination, some faculty and staff also tested positive for "small three positive", but no treatment was given. I don’t know if this theory is correct. If it is, not only can I be spared the burden of seeking medical treatment and taking medicine, but my whole family will no longer have to worry about isolation.

For this purpose, I would like to raise the following questions and would appreciate your advice. Can patients with "small three positive" eat or share tableware with their family members? Can they use the same flush toilet with their family members? Can they cook for their family members? Do clothes contaminated by sweat need to be disinfected and washed separately? Do they really not need treatment?

In addition, is cholecystitis contagious? For example, are patients with "small three positive" and cholecystitis more contagious? Are the medications for the two the same?

Expert Q&A:

Anyone who carries the hepatitis B virus may transmit the virus to others and is therefore a source of infection. The more virus a person carries, the more contagious they are. What people commonly call "big three positive" for hepatitis B actually refers to the Hbeag positivity of the hepatitis B virus, while "small three positive" refers to the anti-Hbe positivity. The common point of "big three positive" and "small three positive" is that both are active virus infections and carry hepatitis B virus in their bodies. The difference is that the virus replication is active in "big three positive" patients.

The number of viruses is large and the infectiousness is strong; "small three positive" means low viral replication, small number of viruses and low infectiousness (of course, this does not include patients with mutations in the pre-C region of the viral gene). Therefore, the only difference between "big three positive and small three positive" is the amount of hepatitis B virus carried, not the difference between having the virus and not having the virus. To put it simply, both "big and small triple positive" carry the hepatitis B virus and are contagious, but the degree of contagiousness varies.

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