Symptoms of viral hepatitis

Written by Xiong Hong Hai
Infectious Disease
Updated on November 25, 2024
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The clinical symptoms of viral hepatitis are mainly related to liver function. Generally, there are no obvious symptoms when liver function is normal or mildly abnormal. However, when liver function becomes significantly abnormal, symptoms such as fatigue, aversion to oil, nausea, abdominal distension, and poor appetite may occur. Different types of viral hepatitis have different prognoses and severity of illness. Treatment should be tailored to the actual situation, including liver protection, enzyme reduction, and addressing the cause through comprehensive treatment.

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What are the types of viral hepatitis?

Viral hepatitis, in terms of etiology, mainly includes hepatitis caused by several viruses such as Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis D, Hepatitis E, non-A, and non-E. In terms of clinical classification, it mainly includes five types: acute hepatitis, chronic hepatitis, liver failure, cholestatic hepatitis, and hepatitis cirrhosis. Among them, Hepatitis A and Hepatitis E can easily cause acute hepatitis, and Hepatitis B can also lead to the occurrence of acute hepatitis. The most common types of chronic hepatitis are Hepatitis B and Hepatitis C, which can progress to cirrhosis if not promptly controlled. Liver failure can be caused by these viruses as well, with liver failure caused by Hepatitis B being the most common.

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What fruits to eat for viral hepatitis?

Viral hepatitis patients can eat most fruits as there are not many restrictions, and fruits generally are good to eat. Fruits contain a high amount of vitamins, especially vitamin C, which can help repair the liver when consumed by patients. However, for some special patients, especially those with cirrhosis or liver failure who are at risk of bleeding, or even after a significant gastrointestinal bleeding, eating hard, difficult-to-digest fruits is not beneficial for recovery. Consuming hard fruits might exacerbate bleeding, and eating hard-to-digest fruits might lead to symptoms such as upper abdominal discomfort, poor appetite, and nausea or vomiting after eating.

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Treatment of viral hepatitis

Once viral hepatitis occurs, the liver function is obviously abnormal. Patients may have significant discomfort symptoms such as fatigue, poor appetite, nausea, vomiting, and bloating after eating. Therefore, the treatment of patients with viral hepatitis mainly consists of two aspects. The first aspect is bed rest combined with a light, low-fat diet. The second aspect is pharmacological treatment. For patients with significantly abnormal liver function, medications that protect the liver and reduce enzyme levels are needed. If significant jaundice occurs, medications to reduce jaundice are required. Additionally, if the viral hepatitis is caused by hepatitis B or C, antiviral medications might be necessary. Only through active antiviral treatment can the damage to the liver by the virus be reduced, and thus better recovery of the patients can be achieved.

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How to recover from liver damage caused by viral hepatitis?

Most liver damage caused by viral hepatitis is recoverable. Viral hepatitis is mainly categorized into acute hepatitis, chronic hepatitis, liver failure, cholestatic hepatitis, and cirrhosis due to hepatitis. Among these, acute hepatitis generally only requires symptomatic treatment. If patients rest adequately and maintain a light diet, they can fully recover back to normal after timely treatment; for chronic hepatitis, in addition to the symptomatic treatments mentioned, antiviral treatment should also be considered. If chronic hepatitis is not well managed, cirrhosis may develop. Patients with cirrhosis tend to have relatively severe liver damage and are prone to recurrence, making the treatment less effective. In critical cases, such as patients with liver failure, the liver damage is very severe, and the treatment and prognosis are generally poorer.

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What medicine to take for viral hepatitis?

In the treatment and management of viral hepatitis, it is necessary to handle it based on the actual situation, as different types of viral hepatitis have different treatment methods and strategies. For Hepatitis A and Hepatitis E, there are no specific antiviral drugs targeting the virus; the main approach is symptomatic treatment. If liver function is abnormal, it is advisable to choose some liver-protecting and enzyme-lowering drugs. For significantly high levels of bilirubin, one can opt for drugs that reduce jaundice and ensure adequate rest. In the treatment of Hepatitis B and Hepatitis C, if there are candidates suitable for antiviral treatment, active antiviral therapy should be undertaken. The treatment strategy should be based on the actual situation.