Can you smoke with viral hepatitis?

Written by Xiong Hong Hai
Infectious Disease
Updated on April 16, 2025
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Patients with viral hepatitis should not smoke or drink alcohol. They need to rest well, ensure sufficient sleep, eat light and easily digestible foods, and avoid overly greasy, irritating, or moldy foods. The variety of food should be abundant and nutritionally balanced, with meals distributed reasonably. Moreover, treatment should be tailored according to the type of viral hepatitis, aiming to eliminate the cause of the disease and strengthen liver protection and enzyme reduction. Different types of viral hepatitis require different treatment approaches; for example, hepatitis B and C may need antiviral treatment, whereas hepatitis A and E mainly require enhanced liver protection and enzyme reduction treatments.

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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 Xiong Hong Hai
Infectious Disease
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Symptoms of viral hepatitis

The clinical symptoms of viral hepatitis are mainly related to liver function. Generally, there are no obvious symptoms when liver function is normal or mildly abnormal. However, when liver function becomes significantly abnormal, symptoms such as fatigue, aversion to oil, nausea, abdominal distension, and poor appetite may occur. Different types of viral hepatitis have different prognoses and severity of illness. Treatment should be tailored to the actual situation, including liver protection, enzyme reduction, and addressing the cause through comprehensive treatment.

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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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What fruits to eat for viral hepatitis?

Viral hepatitis patients can eat most fruits as there are not many restrictions, and fruits generally are good to eat. Fruits contain a high amount of vitamins, especially vitamin C, which can help repair the liver when consumed by patients. However, for some special patients, especially those with cirrhosis or liver failure who are at risk of bleeding, or even after a significant gastrointestinal bleeding, eating hard, difficult-to-digest fruits is not beneficial for recovery. Consuming hard fruits might exacerbate bleeding, and eating hard-to-digest fruits might lead to symptoms such as upper abdominal discomfort, poor appetite, and nausea or vomiting after eating.

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Written by Zhang Jian Kang
Infectious Disease
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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.