How long can a person live with hepatitis B "big three positives"?
Disease description:
I was diagnosed with hepatitis B "big three positives," and I'm very anxious, feeling like my life is about to end. So I want to know, how long can someone live in this condition?
Doctor's answer (1)
Dr. Gao Jun
The lifespan of patients with chronic hepatitis B (positive for HBsAg, HBeAg, and anti-HBc—commonly known as "three positives") varies from person to person.
Having the "three positives" does not directly determine a patient's life expectancy. If detected early and properly managed through antiviral therapy, regular liver function monitoring, and maintaining healthy lifestyle habits, patients can live for many years—potentially with a normal life span—and continue to lead normal lives and work productively. However, if treatment is neglected and the disease progresses unchecked, it may lead to serious complications such as cirrhosis or liver cancer, which can significantly shorten life expectancy.
Some patients, after diagnosis, actively cooperate with treatment, take medication as prescribed, quit smoking and drinking, maintain adequate sleep, and engage in moderate exercise, thereby effectively controlling their condition with minimal impact on longevity. Others, however, continue excessive alcohol consumption, stay up late, and fail to follow medical advice after diagnosis, leading to gradual disease progression and severe consequences for both health and survival. Anyone diagnosed with the "three positives" should seek timely medical care.
