How does viral hepatitis spread?

Written by Xiong Hong Hai
Infectious Disease
Updated on March 31, 2025
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Different types of viral hepatitis have distinct characteristics and are transmitted in different ways. Common types include hepatitis A, B, C, D, and E. Hepatitis A and E are primarily transmitted through the fecal-oral route via the digestive tract. Hepatitis B and C are mainly transmitted through blood, sexual contact, and from mother to child; general social contact does not typically result in infection. In terms of prevention, vaccines are available for hepatitis A and B.

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

Common types of viral hepatitis include Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis D, and Hepatitis E, as well as Hepatitis G. Infections by the Epstein-Barr virus and cytomegalovirus can also potentially cause liver damage. Of course, there are other related viral infections that can lead to liver damage and can be classified as viral hepatitis. Different types of viral hepatitis have different transmission routes and methods, and their prognosis and outcomes vary. Appropriate measures should be taken based on the specific circumstances.

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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 Ye Xi Yong
Infectious Diseases
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Can viral hepatitis be cured?

Viral hepatitis is currently divided into five main types: Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis E, and Hepatitis D. Hepatitis A and E generally present as acute hepatitis; sometimes, the course of these diseases is relatively short, and recovery is common. Many patients with Hepatitis A and E recover without seeking hospital treatment, as they may not even realize they are infected before they get better. However, Hepatitis B and Hepatitis C are less likely to resolve on their own and tend to develop into chronic hepatitis more often. But with advancements in treatment methods, the cure rates for Hepatitis B and C have significantly improved. Therefore, it can be said that viral hepatitis is treatable.

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Written by Zhang Jian Kang
Infectious Disease
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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 serious?

The onset of viral hepatitis is fast or sudden, and it depends on the type of hepatitis. Viral hepatitis can be categorized into acute hepatitis, chronic hepatitis, liver failure, cholestatic hepatitis, and cirrhotic hepatitis. Acute hepatitis and liver failure typically have a rapid onset, with common pathogens like Hepatitis A and Hepatitis E, which can cause acute hepatitis and may lead to symptoms such as significant fatigue, poor appetite, and dark urine in a short period. However, chronic hepatitis caused by Hepatitis B and Hepatitis C, which can even lead to cirrhosis, tends to progress slowly. After infection with the virus, the body may carry the virus for a long time without any symptoms. It may take 10-20 years or even longer for symptoms like fatigue and poor appetite to appear.