What are the indicators for viral hepatitis testing?

Written by Xiong Hong Hai
Infectious Disease
Updated on September 12, 2024
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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 Zhang Jian Kang
Infectious Disease
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Is viral hepatitis contagious?

Viral hepatitis refers to liver function impairment caused by viral infection, which is generally contagious. Common pathogens include Hepatitis A, B, C, D, E, etc. Among these, Hepatitis A and E are enterically transmitted diseases, mainly spread through fecal-oral transmission; consuming contaminated food can lead to the spread of hepatitis. For Hepatitis B, common transmission routes include mother-to-child transmission and transmission through blood and body fluids. If a mother has Hepatitis B, it is essential to perform mother-to-infant blocking during childbirth. As for Hepatitis C, the main transmission routes are through transfusions or blood products. If the patient is undergoing dialysis or requires blood transfusion treatment, there is a significant risk factor, categorizing them as a high-risk group.

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Infectious Disease
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Can viral hepatitis be breastfed?

Regarding the issue of whether breastfeeding is possible with viral hepatitis, it depends on the specific situation, as there are many types of viral hepatitis, and opinions vary for different types. For individuals infected with Hepatitis B, it is generally considered safe to breastfeed. However, breastfeeding is not recommended for mothers with Hepatitis C. Hepatitis A and E, during their acute infectious phases, are contagious, and breastfeeding is not advised. Hepatitis A and E are self-limiting diseases, and breastfeeding can be resumed four to eight weeks after recovery.

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Infectious Disease
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What medicine to take for viral hepatitis?

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 Ye Xi Yong
Infectious Diseases
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How to prevent viral hepatitis

Viral hepatitis is a class of diseases that specifically includes five types: hepatitis A, hepatitis B, hepatitis C, hepatitis D, and hepatitis E. Each type has a different mode of transmission, hence the prevention methods vary for each. Specifically, hepatitis A and E are transmitted via the fecal-oral route, meaning the disease is mainly spread through consuming water and cold foods contaminated with the viruses, and foods that have not been fully cooked, leading to infection. Hepatitis B and C, on the other hand, are mainly transmitted through blood and sexual contact. Prevention of hepatitis B and C involves avoiding contact with blood products from infected individuals and unsafe sexual practices.

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Can viral hepatitis cause diarrhea?

Patients with viral hepatitis, due to abnormal liver function, may experience symptoms such as fatigue, poor appetite, nausea, vomiting, and abdominal bloating after eating. Generally, viral hepatitis does not cause diarrhea. However, for some patients with viral hepatitis, there may be a yellowing of the urine and a whitening of the stool color. This condition may be due to symptoms caused by bile stasis. Therefore, for patients with viral hepatitis, diarrhea is generally not expected, but changes in the color and characteristics of the stool may occur. If a patient with viral hepatitis experiences symptoms like yellowing of the eyes, dark urine, especially if the stool color becomes white, it is important to seek timely medical attention, as jaundice may be present.