Is viral hepatitis contagious?

Written by Zhang Jian Kang
Infectious Disease
Updated on June 01, 2025
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Viral hepatitis is primarily a contagious liver disease, mainly including hepatitis A, B, C, D, E, and others. There are also liver impairments caused by viruses other than these, which also fall under the category of viral hepatitis. Viral hepatitis is contagious, and its transmission routes vary by type. For example, the main transmission route for both hepatitis A and E, which are caused by the hepatitis A and E viruses, is fecal-oral, i.e., through the digestive tract. The primary transmission route for hepatitis B is through blood and bodily fluids, and mother-to-child transmission is also an important pathway for the spread of hepatitis B. The transmission route for hepatitis C mainly involves blood transfusions or blood products. Thus, the pathways of infection differ for each type of hepatitis.

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Infectious Disease
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What indicators are checked for viral hepatitis?

Viral hepatitis requires relevant hepatitis markers, such as hepatitis A antibodies IgG and IgM for hepatitis A, and for hepatitis B, the "hepatitis B two and a half pairs" test is conducted to check for surface antigens. If the surface antigen is positive, it indicates a hepatitis B virus infection; if negative, there is no hepatitis B virus infection. Hepatitis C is primarily screened through hepatitis C antibodies; if the screening is positive, further testing for hepatitis C virus RNA is needed. Hepatitis E mainly involves testing for hepatitis E antibodies IgG and IgM.

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Is viral hepatitis contagious?

Viral hepatitis is contagious, with different types of viral hepatitis transmitted in different ways. The common types of viral hepatitis include Hepatitis A, B, C, D, and E. Hepatitis A and E are acute self-limiting liver diseases, which are contagious during the symptomatic phase and also during the incubation period, primarily transmitted through the fecal-oral route via the digestive tract. Therefore, for those infected with Hepatitis A or E, gastrointestinal isolation and symptomatic treatment are required. Hepatitis B and C are transmitted through blood, sexual contact, and from mother to child, with general contact not leading to infection.

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Can people with viral hepatitis eat garlic?

During the acute phase of viral hepatitis, liver function is generally significantly abnormal. Patients may experience symptoms such as fatigue, poor appetite, abdominal bloating after eating, and nausea and vomiting. Some may also develop jaundice and yellow urine. For patients with viral hepatitis, it is first recommended to rest in bed. At the same time, a light and low-fat diet should be maintained, and spicy and stimulating foods should be avoided. Therefore, it is not recommended for patients with viral hepatitis to consume spicy and stimulating foods like garlic and chili peppers during the acute phase. It is advisable to eat light foods such as fruits and vegetables. Consuming fatty foods, like pork, lamb, and beef, is also not recommended. Eating these foods may lead to indigestion, and patients may experience significant stomach discomfort.

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Do you need a blood transfusion for viral hepatitis?

Viral hepatitis, especially in cases where the condition is particularly severe, bilirubin levels are particularly high, and coagulation function is particularly poor, may require plasma treatment. This involves the administration of plasma and nutritional support as symptomatic supportive therapy. Some patients may also need plasma exchange and artificial liver treatment. The treatment of viral hepatitis should aim to remove the cause of the disease as much as possible while also strengthening liver protection and enzyme reduction therapies. Severe cases may require plasma treatment. Treatment decisions should be based on the actual situation and starting treatment early in the onset of the disease can stabilize most conditions.

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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.