Viral Hepatitis A & E

Hepatitis (inflammation of the liver) can result from infectious causes and noninfectious causes. Noninfectious causes include alcohol intake, autoimmune conditions, medications etc.

Infection caused by a virus can be called Viral hepatitis. Hepatitis A, Hepatitis B, Hepatitis C and Hepatitis E together contribute to the majority of viral Hepatitis cases.

Viral hepatitis is a public health concern in India. Each kind of Hepatitis poses a different kind of challenge for public health personnel.

In this article we will cover about Hepatitis A  & Hepatitis E. In the following article, we will cover about Hepatitis B & Hepatitis C.

Hepatitis A & hepatitis E

Hepatitis A and Hepatitis E are caused mainly by contaminated water, poor sanitation and unhygienic handling of food. Hepatitis A infection usually occurs in childhood and 90 to 100% of population acquires Anti HAV antibody and becomes immune by adolescence. India also witnessed many epidemics of Hepatitis E.

Symptoms of Hepatitis A and E

Lack of appetite, low-grade fever, fatigue, yellowish discoloration of eyes and skin, dark colored urine, abdominal discomfort, joint pains, itching are some of the symptoms.

Diagnosis

Hepatitis A and Hepatitis E can be diagnosed by immunoglobulin M and immunoglobulin G response to that particular virus.

Treatment

Treatment for Hepatitis A and E is usually supportive. Treatment includes rest, plenty of fluids, healthy diet and staying away from medicines that can affect the liver.

Vaccination for Hepatitis A

The vaccine is given around 12 months of age, preferably between 12 and 23 months. Catch up vaccination can be given after 2 years of age.

At present, there is no Vaccine for Hepatitis E

Prevention of Hepatitis A & E infections

  • Safe drinking water can prevent Hepatitis A infection
  • Improved sanitation measures lower the occurrence of Hepatitis A&E infections
  • Hand washing after using a washroom, before preparing meals is an important measure to prevent the spread of infection

Awareness about the mode of transmission and taking preventive measures mentioned above can prevent the spread of infection.

-Dr.Lavanya Aribandi, Chief Medical Officer, eKincare.

References

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982980/

https://www.researchgate.net/publication/6697645_Viral_Hepatitis_in_India

https://emedicine.medscape.com/article/178140-workup?pa=9L5S62T9o7rTlONai5z8XNhpHsJaZUOtJH0uyFASYpff%2BCwsrrqbl4Hp4ZVR9fXxX8MwC0EECwzp432Skuf9qw%3D%3D#c9

 

Nutrition therapy in viral hepatitis

Nutrition.pngPatients suffering from viral hepatitis often have nonspecific symptoms such as poor appetite and tiredness. Infections of the liver lead to compromised metabolism and absorption of nutrients , especially carbohydrates and fats. Emphasis needs to be on giving sufficient rest to the liver to recuperate and regain its functioning.

Treatment for all types of viral hepatitis involves Continue reading “Nutrition therapy in viral hepatitis”

Viral infections of the liver

Hepatitis relates to inflammation of the liver. A total of 315 outbreaks of viral hepatitis have been reported from 2010 to 2013 and 99 outbreaks in 2013 alone by Integrated Disease Surveillance Programme (IDSP) to National Centre for Disease Control (NCDC).

Liver, being the main organ involved in metabolizing nutrients, needs rest during hepatitis for the cells Continue reading “Viral infections of the liver”

Cirrhosis of Liver

 

What is Cirrhosis of Liver?

Cirrhosis is a slowly progressing liver disease which involves loss of liver cells and irreversible scarring of the liver. Eventually a healthy liver tissue is replaced with scar tissue, eventually preventing the liver from functioning properly.

Complications of cirrhosis include edema, ascites, spontaneous bacterial peritonitis, variceal bleeding, hepatic encephalopathy, hepatorenal syndrome, hepatopulmonary syndrome, hypersplenism, and liver cancer.

Cirrhosis is estimated to have resulted in in 1.2 million deaths globally in 2013, up from 0.8 million deaths in 1990. Nearly one-third of this is estimated to be due to alcohol abuse. Continue reading “Cirrhosis of Liver”