Hepatitis B
A viral infection of the liver spread through blood and body fluids. It can be short-lived or become long-term and damage the liver.
Quick Summary
Often no symptoms. Some people have tiredness, poor appetite, nausea, tummy pain, dark urine and yellow skin and eyes (jaundice).
Most adults clear a new infection on their own. Long-term (chronic) hepatitis B may need antiviral medicines and regular liver checks.
Being born to a mother with hepatitis B, unprotected sex, sharing needles, unsafe injections or blood transfusions.
Overview
Hepatitis B is caused by the hepatitis B virus (HBV), which infects the liver. It spreads through blood, semen and vaginal fluids, and from mother to baby at birth.
Many people with chronic hepatitis B don't know they have it. Over years it can cause liver scarring (cirrhosis) and liver cancer. A safe, effective vaccine prevents it.
Symptoms
Often no symptoms
Many people feel well, especially with long-term infection.
Jaundice
Yellow skin and eyes, dark urine and pale stools.
Tiredness and poor appetite
With nausea or tummy pain on the right side.
Fever and joint pain
Sometimes in the early stage of infection.
Causes & Risk Factors
Biological Causes
Infection with the hepatitis B virus. In babies and young children, the infection is much more likely to become long-term than in adults.
Key Risk Factors
- Mother-to-baby spread Babies born to mothers with hepatitis B need vaccination and sometimes immunoglobulin at birth.
- Blood exposure Sharing needles, razors or toothbrushes, and unsafe medical procedures.
- Sexual contact Unprotected sex with an infected person.
Management & Treatment
01. Testing
Blood tests (such as HBsAg) show whether you have the infection and how active it is.
02. Antiviral medicines
Medicines such as tenofovir keep the virus under control in many people with chronic hepatitis B.
03. Liver monitoring
Regular blood tests and scans check for liver damage and cancer.
Frequently Asked Questions
Is there a vaccine?
Can it be cured?
Can I breastfeed?
Sources and further reading
Last updated 21 October 2026. For more detail, see these trusted health organisations.
- Hepatitis B(opens in a new tab) · MedlinePlus, US National Library of Medicine
- Hepatitis B(opens in a new tab) · NHS