Symptoms of viral hepatitis

Written by Ye Xi Yong
Infectious Diseases
Updated on September 02, 2024
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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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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 Xiong Hong Hai
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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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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.

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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.

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Written by Xiong Hong Hai
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Is viral hepatitis easy to treat?

In fact, the treatment of viral hepatitis should be based on the actual situation, and many prognoses are very good, with many recovering to a completely normal state and even without recurrence. Different types of viral hepatitis have different characteristics, and the methods and strategies of treatment are also different. Hepatitis A and E are transmitted through the digestive tract and fecal-oral route and are acute self-limiting infectious diseases. During the onset, gastrointestinal isolation, liver protection, and enzyme reduction treatments are implemented. After four to eight weeks, recovery is generally complete. Hepatitis B and C are transmitted through blood, sexual contact, and from mother to child, and general contact does not lead to infection. Antiviral treatment should be administered if there are indications for it.