Is viral hepatitis serious?

Written by Zhang Jian Kang
Infectious Disease
Updated on January 12, 2025
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The onset of viral hepatitis is fast or sudden, and it depends on the type of hepatitis. Viral hepatitis can be categorized into acute hepatitis, chronic hepatitis, liver failure, cholestatic hepatitis, and cirrhotic hepatitis. Acute hepatitis and liver failure typically have a rapid onset, with common pathogens like Hepatitis A and Hepatitis E, which can cause acute hepatitis and may lead to symptoms such as significant fatigue, poor appetite, and dark urine in a short period. However, chronic hepatitis caused by Hepatitis B and Hepatitis C, which can even lead to cirrhosis, tends to progress slowly. After infection with the virus, the body may carry the virus for a long time without any symptoms. It may take 10-20 years or even longer for symptoms like fatigue and poor appetite to appear.

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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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How do you get viral hepatitis?

Viral hepatitis is primarily due to infection by certain hepatitis viruses. Different types of viral hepatitis have different modes of transmission and routes of spread, and their outcomes and prognoses also vary. Hepatitis A and E are mainly transmitted through the digestive tract and the fecal-oral route, typically from consuming food or water contaminated with hepatitis A or E viruses. Hepatitis B and C, on the other hand, are mainly transmitted through blood, perinatal transmission, and sexual contact, with infection from casual contact being rare.

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Infectious Disease
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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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Transmission routes of viral hepatitis

Different types of viral hepatitis are transmitted through different routes, and preventive measures should start from the cause of the disease, cutting off transmission routes and protecting susceptible individuals. Hepatitis A and E are mainly transmitted through the fecal-oral route, usually by consuming food or water contaminated with the hepatitis A or E virus. Hepatitis B and C, on the other hand, are mainly transmitted through blood, sexual contact, and from mother to child; general contact usually does not lead to infection. Preventive measures include cutting off transmission routes, such as avoiding contact with patients with viral hepatitis, and getting vaccinated against hepatitis B and A.

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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.