Is viral hepatitis serious?

Written by Zhang Jian Kang
Infectious Disease
Updated on January 12, 2025
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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.

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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 Ye Xi Yong
Infectious Diseases
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How to prevent viral hepatitis

Viral hepatitis can be divided into five types based on the cause: Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis D, and Hepatitis E. Hepatitis A and E are mostly transmitted through the fecal-oral route. Therefore, to prevent Hepatitis A and E, it is essential to protect water sources, pay attention to food hygiene, and personal hygiene, and avoid eating raw seafood and similar foods. Hepatitis B and C, on the other hand, are mainly transmitted through blood and bodily fluids. The prevention of Hepatitis C and B primarily involves avoiding unsafe sexual activities with patients with Hepatitis B or C. Hepatitis B can also be prevented through the administration of Hepatitis B vaccine and immune globulin.

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Written by Zhang Jian Kang
Infectious Disease
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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 Zhang Jian Kang
Infectious Disease
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Can you stay up late with viral hepatitis?

Patients with viral hepatitis should avoid staying up late at night, because the liver rests and detoxifies during night hours. Staying up late might lead to liver function damage. For a healthy individual, staying up late might cause mild liver function abnormalities the following day. Over time, if a patient with viral hepatitis continues to stay up late, their liver function may repeatedly become abnormal. Even if their virus status is negative and they are just carriers, their long-term poor lifestyle habits could lead to the onset of hepatitis. Therefore, it is crucial for patients with viral hepatitis to avoid staying up late and drinking alcohol.

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Written by Zhang Jian Kang
Infectious Disease
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The cause of ascites in viral hepatitis

Generally, viral hepatitis does not lead to ascites, but if viral hepatitis progresses to liver failure, severe hepatitis, or cirrhosis, ascites can occur. The main causes of ascites are related to portal hypertension and sodium and water retention. Additionally, patients with chronic liver diseases often have low albumin levels, leading to hypoalbuminemia, which can also contribute to the development of ascites. Therefore, the presence of ascites in viral hepatitis generally indicates a severe condition, and the outcome after treatment might be poor as ascites can recur. If ascites occurs in viral hepatitis, it is crucial to rule out the presence of cirrhosis. For some patients in the decompensated stage of cirrhosis, the initial symptom might be ascites. Therefore, prompt diagnosis and treatment are necessary once ascites appears in viral hepatitis, requiring further attention.