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Hepatitis E

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Question: how do you care for a perosn who is hepatitis B e-aantigen reactive? My girlfriend's hepatits B e-antigen reactive and hepatitis B e-antibody non-reactive, her last checkup was in april last year. Is she going to be sick soon, and if so, how can i take care of her? and what do i need to do to make sure her liver works fine?

Answer: If your gf is eAg+ and eAb-, she definetly has Hep B with active viral replication. She should be getting checked up every 6 months to get a blood draw and to check her liver enzymes to see if her Hep B is damaging her liver. Hep B can lie dormant, so it's important to have monitoring every 6 months to see if it is still dormant or if it is attacking the liver. Make sure that everyone in close contact with her is vaccinated for Hep B. That includes you. If you haven't already done so, you should get tested for Hepatitis, and get a vaccine if you don't have one already. Make sure that she does not share anything that could have blood on it with anyone else (needles, razors, toothbrushes, nail clippers, etc), since Hepatitis B is transmitted through blood. And also, if you're having sex, make sure you use protection since Hep B can also be transmitted through intercourse. As far as diet, don't drink alcohol and don't smoke. Alcohol is the #1 thing to avoid if you have Hepatitis or any liver problem. Other than that, make sure to exercise and don't eat too much fatty foods. Usually a high-protein, low fat diet will do. And get more advice from a Gastroenterologist or Hepatologist who specializes in dealing with the liver. Wishing you the best of luck!

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