Treatment of viral hepatitis

Written by Zhang Jian Kang
Infectious Disease
Updated on February 23, 2025
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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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Written by Zhang Jian Kang
Infectious Disease
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Typing of Viral Hepatitis

Viral hepatitis mainly includes Hepatitis A, B, C, D, E, etc., among which Hepatitis A and E are acute infections. Generally, there is no long-term damage to the human body after infection; recovery of liver function suffices. Hepatitis B and C infections are prone to becoming chronic, leading to chronic hepatitis B and chronic hepatitis C, respectively. These chronic infections can easily lead to cirrhosis and liver cancer. Among them, the carrier rate of HBsAg in hepatitis B is about 7%, and there are approximately 9.6 million people with hepatitis C in China. Therefore, the incidence rates of hepatitis B and C are relatively high, and if there are abnormalities in liver function, it is crucial to check for these diseases.

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

Viral hepatitis can be divided into five types based on the cause: Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis D, and Hepatitis E. Hepatitis A and E are mostly transmitted through the fecal-oral route. Therefore, to prevent Hepatitis A and E, it is essential to protect water sources, pay attention to food hygiene, and personal hygiene, and avoid eating raw seafood and similar foods. Hepatitis B and C, on the other hand, are mainly transmitted through blood and bodily fluids. The prevention of Hepatitis C and B primarily involves avoiding unsafe sexual activities with patients with Hepatitis B or C. Hepatitis B can also be prevented through the administration of Hepatitis B vaccine and immune globulin.

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Written by Zhang Jian Kang
Infectious Disease
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Dietary care for viral hepatitis

Patients with viral hepatitis generally have noticeable gastrointestinal discomfort symptoms, such as fatigue, poor appetite, nausea, vomiting, and bloating after eating. Therefore, it is advisable for patients with viral hepatitis to maintain a low-fat, light diet. Vegetables and fruits are fine to consume, but greasy foods, such as meat, are not recommended. If meat is desired, white meats like fish are preferable, while red meats are advised against. If viral hepatitis is accompanied by other diseases such as hepatic encephalopathy, it is recommended not to consume soy products and eggs. Patients with viral hepatitis often have concurrent gallbladder diseases, so consuming eggs or greasy foods may exacerbate symptoms and cause significant upper abdominal discomfort.

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Written by Xiong Hong Hai
Infectious Disease
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What are the indicators for viral hepatitis testing?

Viral hepatitis can be confirmed for infection through tests such as hepatitis B "two and a half pairs," hepatitis A antibodies, hepatitis C antibodies, and hepatitis E antibodies. By using the hepatitis B "two and a half pairs" test to look for the hepatitis B surface antigen, if the surface antigen is positive, it indicates infection with the hepatitis B virus. The hepatitis A antibody test primarily assesses for hepatitis A antibody IGM; if this is positive, it suggests an active infection. Through the hepatitis C antibody test, if positive, further testing for hepatitis C virus RNA can be conducted. The hepatitis E antibody test mainly looks at hepatitis E antibody IGM, and the interpretation should be based on the specific circumstances.

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Written by Xiong Hong Hai
Infectious Disease
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What are the symptoms of viral hepatitis?

Viral hepatitis often presents symptoms such as fatigue, aversion to oil, nausea, abdominal distension, and poor appetite. Patients with mild viral hepatitis typically show no significant symptoms, while those with severe conditions might exhibit relevant clinical symptoms. Particularly severe cases can also present signs of jaundice, such as deep yellow color of the skin and mucous membranes, deep yellow sclera, itchy skin, and may even experience hepatic encephalopathy, liver coma, etc. Treatment and management should start from the etiology, removing the cause and strengthening liver protection and enzyme reduction as part of comprehensive treatment.