Differential Diagnosis of Viral Hepatitis Symptoms

Written by Ye Xi Yong
Infectious Diseases
Updated on September 30, 2024
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Viral hepatitis is a type of infectious disease primarily characterized by liver lesions caused by hepatitis viruses. Clinically, it manifests mainly as loss of appetite, nausea, discomfort in the upper abdomen, pain in the liver area, and fatigue. Some patients may experience jaundice, fever, and enlargement of the liver area. In some cases, the condition can become chronic and even progress to cirrhosis of the liver or, in a few cases, liver cancer. Acute hepatitis and active chronic hepatitis require hospitalization for treatment, bed rest, a proper diet, and strict abstinence from alcohol. For hepatitis B and C, if antiviral support is available, antiviral treatment can be initiated.

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Written by Ye Xi Yong
Infectious Diseases
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How to treat viral hepatitis

Viral hepatitis is caused by various viruses, primarily affecting the liver and characterized as an infectious disease. Clinically, the main symptoms include loss of appetite, nausea, abdominal discomfort, pain in the liver area, and fatigue. Some patients may also experience jaundice and fever. Common causes include five types of hepatitis viruses: Type A, B, C, D, and E. Generally, hepatitis B and C can lead to chronic hepatitis. Acute hepatitis is primarily treated symptomatically, while chronic conditions like hepatitis B and C usually require antiviral treatment.

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Written by Ye Xi Yong
Infectious Diseases
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How is viral hepatitis treated?

Viral hepatitis is divided into acute and chronic types. Acute viral hepatitis is commonly seen in hepatitis A and E. If the condition is mild, it can heal on its own without treatment. However, if the condition is severe, liver protection treatment can be administered in a hospital. Chronic viral hepatitis is most commonly seen in chronic hepatitis B and C. These conditions have relatively long disease courses, and some may even carry the virus for a lifetime. The key to their treatment plans is timely antiviral therapy. Antiviral treatment for hepatitis B mainly includes interferon and nucleoside analogs. Hepatitis C can also be treated with interferon, in addition to direct-acting antiviral drugs for hepatitis C.

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Written by Ye Xi Yong
Infectious Diseases
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How to prevent viral hepatitis

Viral hepatitis is a class of diseases that specifically includes five types: hepatitis A, hepatitis B, hepatitis C, hepatitis D, and hepatitis E. Each type has a different mode of transmission, hence the prevention methods vary for each. Specifically, hepatitis A and E are transmitted via the fecal-oral route, meaning the disease is mainly spread through consuming water and cold foods contaminated with the viruses, and foods that have not been fully cooked, leading to infection. Hepatitis B and C, on the other hand, are mainly transmitted through blood and sexual contact. Prevention of hepatitis B and C involves avoiding contact with blood products from infected individuals and unsafe sexual practices.

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Written by Ye Xi Yong
Infectious Diseases
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How to test for viral hepatitis?

Viral hepatitis is primarily caused by hepatitis A, B, C, D, and E viruses. However, its diagnosis is mainly confirmed through blood tests by examining serological results. It is generally difficult to differentiate clinically because conditions like hepatitis A and E have very similar clinical manifestations. Similarly, hepatitis B and C can show similar symptoms during certain stages of the disease. Therefore, the examination of viral hepatitis primarily involves blood tests for serological studies of the hepatitis virus.

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Written by Zhang Jian Kang
Infectious Disease
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Do you need a blood transfusion for viral hepatitis?

The treatment of viral hepatitis generally does not require blood transfusion. The primary treatment methods for viral hepatitis include ensuring plenty of rest, eating smaller and more frequent meals, and paying attention to diet. Additionally, medications that protect the liver, reduce enzyme levels, and alleviate jaundice can be used. For viral hepatitis caused by hepatitis B or C, formal antiviral treatment is also necessary. If liver damage is extremely severe, leading to liver failure and very high bilirubin levels, artificial liver treatment can be administered. Artificial liver treatment is of two types: one is plasma exchange, commonly referred to as a blood transfusion, and the other is protein adsorption; both of these methods are relatively effective.