Hepatitis (patient information)

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Overview
Hepatitis is swelling and inflammation of the liver. It is not a condition, but is often used to refer to a viral infection of the liver.

What are the symptoms of Hepatitis ?
Hepatitis may start and get better quickly (acute hepatitis), or cause long-term disease (chronic hepatitis). In some instances, it may lead to liver damage, liver failure, or even liver cancer. How severe hepatitis is depends on many factors, including the cause of the liver damage and any illnesses you have. Hepatitis A, for example, is usually short-term and does not lead to chronic liver problems. The symptoms of hepatitis include: Many people with hepatitis B or C do not have symptoms when they are first infected. They can still develop liver failure later. If you have any risk factors for either type of hepatitis, you should be tested regularly.
 * Abdominal pain or distention
 * Breast development in males
 * Dark urine and pale or clay-colored stools
 * Fatigue
 * Fever, usually low-grade
 * General itching
 * Jaundice (yellowing of the skin or eyes)
 * Loss of appetite
 * Nausea and vomiting
 * Weight loss

What causes Hepatitis ?
Hepatitis can be caused by: For more information about the causes and risk factors for different types of hepatitis, see also: Liver disease can also be caused by inherited disorders such as cystic fibrosis or hemochromatosis, a condition that involves having too much iron in your body (the excess iron deposits in the liver). Other causes include Wilson's disease.
 * Immune cells in the body attacking the liver and causing autoimmune hepatitis
 * Infections from viruses (such as hepatitis A, B, or C), bacteria, or parasites
 * Liver damage from alcohol, poisonous mushrooms, or other poisons
 * Medications, such as an overdose of acetaminophen, which can be deadly
 * Alcoholic hepatitis
 * Autoimmune hepatitis
 * Delta agent (hepatitis D)
 * Drug-induced hepatitis
 * Hepatitis A
 * Hepatitis B
 * Hepatitis C

Who is at highest risk?
Hepatitis can occur in any age group patients. The risk varies from one type of hepatitis to another.

When to seek urgent medical care?
Your doctor will discuss possible treatments with you, depending on the cause of your liver disease. Your doctor may recommend a high-calorie diet if you are losing weight.

Diagnosis
A physical examination may show: Your doctor may order laboratory tests to diagnose and monitor the hepatitis, including:
 * Enlarged and tender liver
 * Fluid in the abdomen (ascites) that can become infected
 * Yellowing of the skin
 * Abdominal ultrasound
 * Autoimmune blood markers
 * Hepatitis virus serologies
 * Liver function tests
 * Liver biopsy to check for liver damage
 * Paracentesis if fluid is in your abdomen

Treatment options
Your doctor will discuss possible treatments with you, depending on the cause of your liver disease. Your doctor may recommend a high-calorie diet if you are losing weight.

Where to find medical care for Hepatitis ?
Directions to Hospitals Treating Hepatitis

What to expect (Outlook/Prognosis)?
The prognosis vary from one type of hepatitis to other.

Possible complications
Other complications include:
 * Liver cancer
 * Liver failure
 * Permanent liver damage, called cirrhosis
 * Esophageal varices that can bleed
 * Spontaneous bacterial peritonitis (fluid in the abdomen that becomes infected)