What medicine to take for viral hepatitis?

Written by Xiong Hong Hai
Infectious Disease
Updated on March 04, 2025
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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.

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Written by Xiong Hong Hai
Infectious Disease
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How is viral hepatitis transmitted?

Different types of viral hepatitis have different routes and methods of transmission. Hepatitis A and E are mainly transmitted through the fecal-oral route via the digestive tract. Hepatitis B and C are transmitted through blood, sexual contact, and from mother to child. Generally, transmission through casual contact is rare. Most cases of hepatitis B are transmitted from mother to child. Hepatitis C is more commonly transmitted through needle stick injuries and blood transfusions. In terms of prevention, hepatitis A can be prevented by vaccination, and hepatitis B can be prevented through vaccination as well.

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Written by Ye Xi Yong
Infectious Diseases
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Symptoms of viral hepatitis

Viral hepatitis is caused by the infection of the liver by various viruses, leading to inflammatory damage to the liver. The main symptoms are manifestations of liver damage, such as fever, fatigue, loss of appetite, nausea, aversion to oily foods, abdominal distension, pain in the liver area, dark urine, jaundice, changes in liver function, elevated bilirubin, and other symptoms like abdominal bloating.

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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 Xiong Hong Hai
Infectious Disease
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Is viral hepatitis transmitted through saliva?

Regarding the question of whether viral hepatitis can be transmitted through saliva, it depends on the actual situation. Some types of viral hepatitis that are transmitted through the fecal-oral route in the digestive tract might also be transmitted through saliva, such as Hepatitis A and Hepatitis E, which are acute viral hepatitis transmitted through the fecal-oral route. Generally, saliva is considered contagious in these cases. However, for Hepatitis B, Hepatitis C, and Hepatitis D, these types of viral hepatitis are not generally transmitted through the digestive tract, and therefore, saliva is not considered contagious.

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Written by Zhang Jian Kang
Infectious Disease
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What are the symptoms of viral hepatitis?

Viral hepatitis primarily includes liver inflammation and damage caused by pathogens such as hepatitis A, B, C, E, etc. Their clinical symptoms are quite similar, mainly characterized by fatigue, poor appetite, nausea, vomiting, abdominal bloating after eating, jaundice, and dark urine. In cases of chronic liver diseases, such as chronic hepatitis caused by hepatitis B or C, if prolonged, it can also lead to facial features typical of liver disease, spider angiomas, and enlarged spleen. Once cirrhosis occurs, the patient may experience hepatic encephalopathy, gastrointestinal bleeding, abdominal distension with water accumulation, and significant abdominal tenderness. Thus, the symptoms of viral hepatitis relate to both the cause of the hepatitis and the type of hepatitis.