What are the types of viral hepatitis?

Written by Zhang Jian Kang
Infectious Disease
Updated on October 22, 2024
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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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Written by Zhang Jian Kang
Infectious Disease
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The cause of ascites in viral hepatitis

Generally, viral hepatitis does not lead to ascites, but if viral hepatitis progresses to liver failure, severe hepatitis, or cirrhosis, ascites can occur. The main causes of ascites are related to portal hypertension and sodium and water retention. Additionally, patients with chronic liver diseases often have low albumin levels, leading to hypoalbuminemia, which can also contribute to the development of ascites. Therefore, the presence of ascites in viral hepatitis generally indicates a severe condition, and the outcome after treatment might be poor as ascites can recur. If ascites occurs in viral hepatitis, it is crucial to rule out the presence of cirrhosis. For some patients in the decompensated stage of cirrhosis, the initial symptom might be ascites. Therefore, prompt diagnosis and treatment are necessary once ascites appears in viral hepatitis, requiring further attention.

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Written by Xiong Hong Hai
Infectious Disease
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Does viral hepatitis cause diarrhea?

Patients with viral hepatitis generally do not experience diarrhea. However, if liver function is significantly abnormal, it can lead to disruption of the gastrointestinal microbial flora, which significantly affects digestive function and may cause diarrhea. Viral hepatitis can lead to a series of related symptoms, such as fatigue, aversion to oil, nausea, abdominal distension, and poor appetite. In particularly severe cases, there may also be signs of increased bilirubin and jaundice, which require treatment based on the actual situation.

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Written by Zhang Jian Kang
Infectious Disease
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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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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 Xiong Hong Hai
Infectious Disease
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What indicators are checked for viral hepatitis?

Viral hepatitis requires relevant hepatitis markers, such as hepatitis A antibodies IgG and IgM for hepatitis A, and for hepatitis B, the "hepatitis B two and a half pairs" test is conducted to check for surface antigens. If the surface antigen is positive, it indicates a hepatitis B virus infection; if negative, there is no hepatitis B virus infection. Hepatitis C is primarily screened through hepatitis C antibodies; if the screening is positive, further testing for hepatitis C virus RNA is needed. Hepatitis E mainly involves testing for hepatitis E antibodies IgG and IgM.