Viral hepatitis is what kind of inflammation?

Written by Xiong Hong Hai
Infectious Disease
Updated on January 03, 2025
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Viral hepatitis is caused by infection with hepatitis viruses, resulting in liver damage and is somewhat contagious, commonly including types A, B, C, D, and E, totaling five types. In fact, the hepatitis virus itself may not cause liver damage directly, rather it is the immune responses triggered by the infection that lead to immunological damage. Thus, viral hepatitis is essentially an immune-mediated inflammation. Different types of viral hepatitis have different outcomes and prognoses. The transmission routes of viral hepatitis mainly fall into two categories: hepatitis A and E are primarily transmitted via the fecal-oral route, while hepatitis B, C, and D are mainly spread through blood and other body fluids. Treatment should be tailored according to the specific circumstances.

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What are the hazards of viral hepatitis?

Viral hepatitis can be categorized based on its cause into hepatitis A, B, C, E, and D. For hepatitis A and E, it is generally acute and usually has a good prognosis without severe consequences. However, hepatitis B and C often lead to chronic hepatitis, progressing into chronic viral hepatitis, then to cirrhosis and even liver cancer, which can affect quality of life and lifespan.

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How to recover from liver damage caused by viral hepatitis?

Most liver damage caused by viral hepatitis is recoverable. Viral hepatitis is mainly categorized into acute hepatitis, chronic hepatitis, liver failure, cholestatic hepatitis, and cirrhosis due to hepatitis. Among these, acute hepatitis generally only requires symptomatic treatment. If patients rest adequately and maintain a light diet, they can fully recover back to normal after timely treatment; for chronic hepatitis, in addition to the symptomatic treatments mentioned, antiviral treatment should also be considered. If chronic hepatitis is not well managed, cirrhosis may develop. Patients with cirrhosis tend to have relatively severe liver damage and are prone to recurrence, making the treatment less effective. In critical cases, such as patients with liver failure, the liver damage is very severe, and the treatment and prognosis are generally poorer.

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How is chronic viral hepatitis treated?

Chronic viral hepatitis is most commonly found in chronic hepatitis B and C, both of which have long disease courses and complex treatments, and some cases may even lead to lifelong infection. The key to their treatment actually lies in the timely initiation of standardized antiviral therapy. For hepatitis B, the antiviral treatment mainly includes interferon and nucleoside analogues, while the antiviral treatment for hepatitis C can also use interferon, as well as direct-acting antiviral drugs. The treatment for both diseases involves timely, standardized, and complete courses of antiviral therapy.

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Dietary care for viral hepatitis

Patients with viral hepatitis generally have noticeable gastrointestinal discomfort symptoms, such as fatigue, poor appetite, nausea, vomiting, and bloating after eating. Therefore, it is advisable for patients with viral hepatitis to maintain a low-fat, light diet. Vegetables and fruits are fine to consume, but greasy foods, such as meat, are not recommended. If meat is desired, white meats like fish are preferable, while red meats are advised against. If viral hepatitis is accompanied by other diseases such as hepatic encephalopathy, it is recommended not to consume soy products and eggs. Patients with viral hepatitis often have concurrent gallbladder diseases, so consuming eggs or greasy foods may exacerbate symptoms and cause significant upper abdominal discomfort.

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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.