Hepatitis B

Hepatitis B is a virus that affects the liver and can spread through blood and body fluids.

What Is Hepatitis B?

Hepatitis B is a virus that infects the liver. The liver helps clean your blood, store energy, and fight infection.

The hepatitis B infection may last a short time and go away on its own (acute). For others, it lasts a long time (chronic). Chronic hepatitis B can cause liver swelling (inflammation) and may lead to liver damage and other serious health problems.

Getting the hepatitis B vaccine is the best way to prevent hepatitis B infections.

How Hepatitis B Spreads

Hepatitis B spreads when blood or body fluids from someone who has the virus enter another person’s body who is not protected (not immune).

Many people with hepatitis B don’t feel sick and may not know they can spread the virus to others.

CAN spread through Can NOT spread through
  • Infected blood getting into small cuts or sores on the skin or inside the mouth
  • From a pregnant parent with hepatitis B to their baby before, during, or after birth
  • Sharing items that may have a tiny amount of blood that is infected with hepatitis B on them, like toothbrushes, razors, and toys (The virus can live in dried blood for a long time.)
  • Sex without using a condom or dental dam (unprotected sex)
  • Sharing or using dirty needles or syringes
  • Holding hands
  • Coughing or sneezing
  • Toilet seats
  • Sharing foods or drinks
  • Hugging or kissing on the cheek
  • Sharing plates, cups, or utensils
  • Bathtubs, pools, or hot tubs
  • School or child care settings

What Are the Signs and Symptoms of Hepatitis B?

Hepatitis B may cause no symptoms, or it may cause these signs of liver inflammation:

  • Belly (stomach) pain
  • Throwing up (vomiting)
  • Yellowing of the skin or eyes (jaundice)
  • Feeling very tired for many days

How Is Hepatitis B Diagnosed and Treated?

Hepatitis B is diagnosed with blood tests. Your child’s doctor or health care provider will decide what treatment is needed.

Your child may need:

  • Rest and healthy foods
  • Antiviral medicine
  • Follow-up medical visits and blood tests

How Can You Prevent Spreading Hepatitis B?

Follow these steps to help prevent spreading hepatitis B:

  • Get the hepatitis B vaccine. It is safe and effective. Babies should get their first dose within 24 hours of birth. For more information, visit our vaccine FAQ. 
  • Wash hands often with soap and warm water, especially:
    • After using the bathroom.
    • Before eating or preparing food.
    • After diaper changes or toileting.
    • After contact with blood or bloody items.
  • Wear throw-away (disposable) gloves when handling blood, like when stopping a nosebleed or bleeding from a cut. Wash your hands after removing the gloves.
  • Family members who have not been vaccinated should get the hepatitis B vaccine.
  • If your child or a family member is exposed to hepatitis B, contact your doctor right away to discuss next steps.

When Should I Call the Doctor for Hepatitis B?

Call your child’s doctor or health care provider if they:

  • Have been exposed to blood infected with hepatitis B.
  • Have yellow skin or eyes.
  • Are very tired for many days.
  • Vomit more than 2 times in 1 hour.
  • Have stomach pain.
  • Have a fever over 100.4° Fahrenheit (F) or 38° Celsius (C) for more than 2 days.
  • Have not wanted to eat in the past 24 hours.