The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App 
Professionals >> Visit The Body PROThe Body en Espanol
Ask the Experts About

Hepatitis and HIV CoinfectionHepatitis and HIV Coinfection
Rollover images to visit our other forums!
  • Email Email
  • Glossary Glossary

HBV transmission and supression
Nov 11, 2007

In a recent work up for upcomming surgery I was found to have elevated liver enzymes. Further testing showed me to be HBV positive and the virus to be replicating. I do not have the numbers to post for your evaluation. I am scheduled for a liver/speen scan tomorrow. I have not yet been told whether my HBV is chronic or acute or whether I am a carrier or how long I have have had this. Since this finding and diagnosis I have done a lot of research on this and I have a couple of questions.

On this web site, you have answered a question about the ability to transmit this to another via kissing by saying it is not. However on another site it said that the virus is present in saliva and can pass through the mucus menbranes in the mouth. This sounds contradictory to me. If it is present in the saliva and can pass through the mucus membranes in the mouth, why is it not considered transmittable via kissing or possibly deep french kissing?

Next one person asked you about the rate of supression of his chronic HBV giving test result numbers. You indicated you felt his virus may be rebounding or becoming resistant to his medication. In your answer you also made referance to the virus becomming inactive. Does this mean that a person with HBV can have the virus become inactive with treatment and if so what factors are involved with this happening. Does the length of time a person has had the virus prior to detection enter into this?

Response from Dr. McGovern

Good questions.

1. Yes HBV is present in saliva, but there is no clear evidence of transmission by this route. The newest guidelines from The American Association for the study of Liver Disease recommend that patients can share food, utensils and can kiss others. It does NOT recommend sharing toothbrushes or razors, where there is a high chance of blood exposure.

2. HBV can be suppressed by medications; patients can become inactive carriers on their own through seroconversion or through treatment with antivirals.

hep c how does it transfer
Interpretation of results

  • Email Email
  • Glossary Glossary



This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint