Does having "Big Three Yang" (a term referring to being positive for HBsAg, HBeAg, and HBcAb in hepatitis B testing) mean that sharing meals can transmit the virus to family members?

Nov 28, 2024 Source: Cainiu Health

Dr. Gao Jun

Introduction

Generally, "big three positive" refers to being positive for hepatitis B surface antigen, hepatitis B e antigen, and hepatitis B core antibody IgM. It usually is not transmitted to family members through sharing meals. However, if both the hepatitis B "big three positive" patient and family members have oral ulcers or bleeding simultaneously, there may be a certain risk of transmission. If experiencing any discomfort, it is recommended to seek medical attention promptly.

Generally, "Big Three Positive" (commonly known as "Big Three Yang") refers to a positive result for hepatitis B surface antigen (HBsAg), hepatitis B e antigen (HBeAg), and hepatitis B core antibody IgM (anti-HBc IgM). It usually does not transmit to family members through sharing meals. However, if both a person with Big Three Positive and their family member have oral ulcers or bleeding simultaneously, there may be a certain risk of transmission. If experiencing any discomfort, timely medical consultation is recommended. Detailed explanation is as follows:

The main transmission routes of hepatitis B Big Three Positive are bloodborne, mother-to-child, and bodily fluid transmission. Although hepatitis B virus (HBV) can be isolated from the saliva of individuals with Big Three Positive, the viral load in saliva is extremely low and generally does not lead to transmission. Even if family members have oral or gastrointestinal mucosal injuries and are exposed to a minute amount of virus, the body's immune system can usually eliminate the virus effectively, preventing infection.

If a person with hepatitis B Big Three Positive has oral ulcers or bleeding, and at the same time a family member also has oral ulcers or bleeding, there may be an increased risk of transmission.

In daily life, it is recommended that individuals with Big Three Positive and their family members maintain good personal hygiene habits, wash hands frequently, use personal dining utensils exclusively to avoid cross-use, and ensure all family members are vaccinated against hepatitis B, which helps reduce the risk of infection.

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Can Lanxin Kushen Tablets treat HBeAg-positive chronic hepatitis B?

Kushenin tablets (Kushen tablets) refer to tablets containing oxymatrine. "Big Three Positive" (commonly known as "Da San Yang") indicates a condition in which the hepatitis B surface antigen, hepatitis B e-antigen, and hepatitis B core antibody all test positive during the hepatitis B five-panel test. Oxymatrine tablets can be used in the treatment of "Big Three Positive." Patients should normally avoid consuming irritating foods, such as spicy or greasy foods, and should eat more liver-friendly foods, such as vegetables, fruits, and legumes, to help protect liver health.

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What should patients with "Big Three Yang" pay attention to in their diet?

Generally, "Big Three Positive" refers to a condition where, in the five-item hepatitis B test, the hepatitis B surface antigen, hepatitis B e-antigen, and hepatitis B core antibody all show positive results. Patients should pay attention to maintaining a balanced diet, controlling fat intake, consuming adequate amounts of high-quality protein, increasing intake of vitamins and minerals, and strictly abstaining from alcohol. Regular liver function tests and quantitative hepatitis B virus tests should also be performed routinely.

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Can mothers with "Big Three Yang" (positive for HBsAg, HBeAg, and HBcAb) breastfeed their babies?

"Big Three Positive" refers to a situation in the five-item hepatitis B test where the hepatitis B surface antigen, hepatitis B e antigen, and hepatitis B core antibody are all positive. Whether a mother who is "Big Three Positive" can breastfeed her baby needs to be determined based on the viral load of hepatitis B virus in her body. If the hepatitis B viral load is low, breastfeeding may be possible; however, if the viral load is high, breastfeeding is generally not recommended.

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What does an MRI examination for "Big Three Positive" involve?

MRI for "Big Three Yang" is usually used to examine space-occupying lesions in the liver. "Big Three Yang" is a type of hepatitis B, and also a bacterial infectious disease primarily caused by infection with the "Big Three Yang" bacteria. Besides infection, it is also closely related to an individual's immune system and poor daily habits. Hepatitis B virus infection triggers the body's overall immune response, leading to the production of various serum immunological markers.