What are the symptoms of viral hepatitis?

Written by Xiong Hong Hai
Infectious Disease
Updated on March 09, 2025
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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.

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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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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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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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Is viral hepatitis hereditary?

Viral hepatitis is not hereditary, but it is a contagious disease, and the risk of transmission is relatively high if living together. Among them, hepatitis A and hepatitis E are types of acute hepatitis, which are self-limiting, so they do not significantly affect the next generation. However, liver damage caused by viruses such as hepatitis B and hepatitis C and liver inflammation may lead to disease in the next generation. If maternal and neonatal transmission is effectively blocked, then the risk of disease can be greatly reduced. Nowadays, most standard hospitals can perform maternal and neonatal blockade. Therefore, it is crucial for pregnant women to have regular medical check-ups and pre-pregnancy screenings to reduce the risk of transmitting to the next generation.

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Is viral hepatitis airborne?

Viral hepatitis cannot be transmitted through the air, and different types of viral hepatitis are transmitted through different routes and have different clinical symptoms. The characteristics of the disease vary; for example, hepatitis A and hepatitis E are primarily transmitted through the digestive tract, via the fecal-oral route. This typically occurs after consuming food or water contaminated with hepatitis A or E virus. Hepatitis B and hepatitis C viruses are mainly transmitted through blood, sexual contact, and from mother to child, with mother-to-child transmission being the most significant route.