What department should I go to for viral hepatitis?

Written by Zhang Jian Kang
Infectious Disease
Updated on May 08, 2025
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Viral hepatitis refers to liver inflammation caused by hepatitis viruses, such as hepatitis A, B, C, D, and E, which lead to liver function impairment. Generally, the liver inflammation caused by these viruses is infectious. Thus, viral hepatitis is treated in the department of infectious diseases. However, if secondary hospitals or other general hospitals do not have such specific subdivisions, patients with viral hepatitis can also visit the department of gastroenterology. Currently, many infectious diseases departments are also called departments of contagion. It is one and the same department, and if there is no department of infectious diseases, one must visit either the department of contagion or gastroenterology for treatment.

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Written by Zhang Jian Kang
Infectious Disease
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What indicators are checked for viral hepatitis?

For viral hepatitis, the primary index to check is liver function. If there are obvious abnormalities in liver function, further clarification is needed to determine what caused these liver function abnormalities. The most common pathogens include Hepatitis A, B, C, E, D, and non-A non-E, etc. Typical hospitals carry out tests for Hepatitis A, B, C, and E. Hepatitis A and E are acute hepatitis; if IgM antibodies are positive, it can indicate a recent infection. However, if IgG antibodies are positive, their significance is not very substantial. If Hepatitis B or C causes the liver damage, further tests such as HBV-DNA, HCV-RNA, etc., need to be conducted to clarify the cause of the liver condition. Additionally, regular follow-up exams like ultrasound and AFP are required.

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Written by Zhang Jian Kang
Infectious Disease
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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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How to prevent viral hepatitis

For Hepatitis A and E, the main mode of transmission is fecal-oral, thus the key to prevention is to prevent fecal-oral transmission by enhancing protection of water sources and food, such as personal hygiene and improved management of feces. Hepatitis B, C, and D are mainly transmitted through blood and bodily fluids. Therefore, to prevent these types of hepatitis, it is necessary to avoid unsafe sexual practices with infected individuals, avoid contact with their blood, and for mothers with hepatitis B, antiviral treatment is necessary to prevent transmission to newborns.

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Do you need a blood transfusion for viral hepatitis?

The treatment of viral hepatitis generally does not require blood transfusion. The primary treatment methods for viral hepatitis include ensuring plenty of rest, eating smaller and more frequent meals, and paying attention to diet. Additionally, medications that protect the liver, reduce enzyme levels, and alleviate jaundice can be used. For viral hepatitis caused by hepatitis B or C, formal antiviral treatment is also necessary. If liver damage is extremely severe, leading to liver failure and very high bilirubin levels, artificial liver treatment can be administered. Artificial liver treatment is of two types: one is plasma exchange, commonly referred to as a blood transfusion, and the other is protein adsorption; both of these methods are relatively effective.

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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.