National Digestive Diseases Information Clearinghouse
NATIONAL INSTITUTES OF HEALTHNational Digestive Diseases Information Clearinghouse
Contents What is hepatitis B? Hepatitis B is a liver disease.
makes your liver swell andstops it from working right.
liver also stores energyfor when you need it. What causes hepatitis B? Hepatitis B is caused by a virus.
A virus is a germ that causes sickness. (For example,the flu is caused by a virus.) People can pass virusesto each other. The virus that causes hepatitis B iscalled the hepatitis B virus. How could I get hepatitis B? Hepatitis B is spread by contact with an infected person’s blood, semen, or other body fluid. You could get hepatitis B by
● having a tattoo or body piercing done with
dirty tools that were used on someone else
● getting pricked with a needle that has
infected blood on it (health care workerscan get hepatitis B this way)
● living with someone who has hepatitis B
● sharing a toothbrush or razor with an
● traveling to countries where hepatitis B is
An infected woman can give hepatitis B to herbaby at birth or through her breast milk. You can NOT get hepatitis B by
● shaking hands with an infected person
What are the symptoms? Hepatitis B can make you feel like you have the flu. You might Some people have Some people don’t have any symptoms.
If you have symptoms or think you might havehepatitis B, go to a doctor. What are the tests for hepatitis B? To check for hepatitis B, the doctor will test your blood.
These tests show if you have hepatitis B and howserious it is.
The doctor will take some blood to check forhepatitis B. The doctor may also do a liver biopsy.
A biopsy (BYE-op-see) is a simple test. The doctorremoves a tiny piece of your liver through a needle. The doctor checks the piece of liver for signs ofhepatitis B and liver damage. How is hepatitis B treated? Treatment for hepatitis B may involve
● A drug called interferon (in-ter-FEAR-on).
It is given through shots. Most people aretreated for 4 months.
● A drug called lamivudine (la-MIV-you-deen).
You take it by mouth once a day. Treatment isusually for one year.
● A drug called adefovir dipivoxil (uh-DEH-foh-
veer dih-pih-VOX-ill). You take it by mouthonce a day. Treatment is usually for one year.
● Surgery. Over time, hepatitis B may cause
your liver to stop working. If that happens,you will need a new liver. The surgery is calleda liver transplant. It involves taking out theold, damaged liver and putting in a new,healthy one from a donor.
Hepatitis B istreated throughshots of medicine. How can I protect myself? You can get the hepatitis B vaccine.
A vaccine is a drug that you take when you arehealthy that keeps you from getting sick. Vaccinesteach your body to attack certain viruses, like thehepatitis B virus.
The hepatitis B vaccine is given through threeshots. All babies should get the vaccine. Infantsget the first shot within 12 hours after birth. Theyget the second shot at age 1 to 2 months and thethird shot between ages 6 and 18 months.
Older children and adults can get the vaccine, too. They get three shots over 6 months. Children whohave not had the vaccine should get it.
You need all of the shots to be protected. If you are traveling to other countries, make sure you get all the shots before you go. If you miss a shot, call your doctor or clinic right away to set up a new appointment.
Vaccines protectyou from gettinghepatitis B. You can also protect yourself and others from hepatitis B if you
● don’t share drug needles with anyone
person’s toothbrush,razor, or anything elsethat could have bloodon it
People who touch blood atwork should wear gloves toprotect themselves fromhepatitis B. For More Information
You can also get information about hepatitis Bfrom these groups:
American Liver Foundation (ALF) 75 Maiden Lane, Suite 603 New York, NY 10038–4810 Phone: 1–800–GO–LIVER (465–4837),
1–888–4HEP–USA (443–7872),or (212) 668–1000
Fax: (212) 483–8179Email: [email protected]: www.liverfoundation.org
Hepatitis B Foundation 700 East Butler Avenue Doylestown, PA 18901–2697 Phone: (215) 489–4900 Fax: (215) 489–4920 Email: [email protected] Internet: www.hepb.org Hepatitis Foundation International (HFI) 504 Blick Drive Silver Spring, MD 20904–2901 Phone: 1–800–891–0707 or (301) 622–4200 Fax: (301) 622–4702 Email: [email protected] Internet: www.hepfi.org More in the Series
There are other types of hepatitis. The NationalDigestive Diseases Information Clearinghouse alsohas booklets about hepatitis A and hepatitis C:
● What I need to know about Hepatitis A
● What I need to know about Hepatitis C
You can get a free copy of each of these booklets bycalling 1–800–891–5389 or (301) 654–3810, or bywriting to
NDDIC 2 Information Way Bethesda, MD 20892–3570
Hepatitis information for health professionals isalso available. Acknowledgments
The individuals listed here provided editorialguidance or facilitated field testing for thispublication. The National Digestive DiseasesInformation Clearinghouse would like to thankthem for their contribution. National Digestive Diseases Information Clearinghouse
2 Information WayBethesda, MD 20892–3570Phone: 1–800–891–5389 or (301) 654–3810Fax: (301) 907–8906Email: [email protected]: www.digestive.niddk.nih.gov
The National Digestive Diseases Information Clearinghouse(NDDIC) is a service of the National Institute of Diabetesand Digestive and Kidney Diseases (NIDDK). The NIDDKis part of the National Institutes of Health under the U.S. Department of Health and Human Services. Established in1980, the clearinghouse provides information about digestivediseases to people with digestive disorders and to theirfamilies, health care professionals, and the public. NDDICanswers inquiries, develops and distributes publications, andworks closely with professional and patient organizations andGovernment agencies to coordinate resources about digestivediseases.
Publications produced by the clearinghouse are carefullyreviewed by both NIDDK scientists and outside experts.
This publication is not copyrighted. The clearinghouseencourages users of this booklet to duplicate and distributeas many copies as desired.
This booklet is also available at www.digestive.niddk.nih.gov.
U.S. DEPARTMENT OF HEALTHAND HUMAN SERVICESNational Institutes of Health
National Institute of Diabetes andDigestive and Kidney Diseases
NIH Publication No. 04–4228December 2003
Sexual Abuse: A Journal of Research and Treatment ( C 2006) DOI: 10.1007/s11194-006-9012-5 Prescription of Medroxyprogesterone Acetate to a Patient with Pedophilia, Resulting in Cushing’s Syndrome and Adrenal Insufficiency Richard B. Krueger, Wylie Hembree, and Michael Hill This article provides a case report of a patient with pedophilia who was treatedover a 4-year period with medro
Volume 6, Issue 2 July 2004 THE NEWSLETTER OF ST.GEORGE’S ICD PATIENT SUPPORT Meetings of BackUp On a recent trip to our local chemist I was impressed to discover that I could have my blood pressure checked. Availing myself of the service, I didn’t have to use one of those machines you sometimes see in stations and airports, butrather put myself in the capably trained hand