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Home > Conditions A-Z > Hepatitis
Home > Help Desk > Health Concern > Section H > Hepatitis

Hepatitis

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Hepatitis is a liver disease that can result from long-term alcohol abuse, infection, or exposure to various chemicals and drugs. Because hepatitis is potentially very dangerous, a healthcare professional should be involved in its treatment.

What are the symptoms of hepatitis?
Acute viral hepatitis varies from a minor flu-like illness to an overwhelming infection resulting in liver failure and death. The early phase is characterized by loss of appetite, malaise, nausea and vomiting, and fever. Signs include a darkening of the urine and jaundice (yellowing of the skin and whites of the eyes). Chronic hepatitis may be asymptomatic, or may manifest as malaise, fatigue, loss of appetite and a low-grade fever.

How is it treated?
Acute hepatitis generally resolves without treatment. Treatment of chronic hepatitis includes cessation of causative drugs. Autoimmune hepatitis is usually treated with corticosteroids. Therapy for chronic hepatitis B and C is evolving and may include interferon, and antiviral and immune-modulating drugs. In the late stages of certain types of hepatitis (not hepatitis B, generally), liver transplantation may be required to preserve life.

Lifestyle changes that may be helpful:
Avoiding alcohol is the most obvious way to avoid the liver damage it causes.

A variety of prescription drugs can, on rare occasions, cause hepatitis, as can large amounts of niacin or niacinamide (forms of vitamin B3). Excessive intake of acetaminophen or other painkillers can damage the liver, so excessive intake of these drugs should be avoided. People with hepatitis C who failed to respond to interferon therapy have been found to have a higher amount of iron within the liver. People with hepatitis C should, therefore, avoid iron supplements. People with any type of hepatitis should ask their physician whether any medication they are taking poses a risk to the liver.

For infectious (viral) hepatitis, good hygiene is necessary to avoid spreading the infection. The hepatitis A virus can be spread very easily through food that is handled by infected individuals; therefore, people with hepatitis A should wash their hands very carefully after using the restroom and should not handle food at work. The hepatitis viruses B and C are both transmitted by blood and sexual contact.

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