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Hepatitis

Healthcare professional explaining liver anatomy and hepatitis to a patient

A nurse uses a liver model to explain hepatitis and liver function to a patient during a medical consultation.

Hepatitis

Hepatitis refers to inflammation of the liver, a vital organ responsible for processing nutrients, detoxifying harmful substances, and producing essential proteins for digestion and blood clotting. This inflammation can result from a variety of causes, including viral infections, excessive alcohol consumption, autoimmune reactions, medications, and metabolic conditions. Regardless of the underlying cause, this condition disrupts normal liver function and, if left untreated, can lead to liver scarring (fibrosis), cirrhosis, liver failure, or liver cancer.

There are several types of this condition, each defined by its cause and behaviour. The most well-known forms are viral hepatitis, caused by hepatitis A, B, C, D, and E viruses. These viruses differ in transmission, duration, and risk of chronic liver damage. Hepatitis A and E spread mainly through contaminated food or water and usually cause acute infections that clear on their own. In contrast, hepatitis B and C spread through blood and bodily fluids and can cause chronic liver disease.

Hepatitis B

Hepatitis B is a significant global health concern. Particularly in parts of Asia and sub-Saharan Africa. Where it is often transmitted from mother to child at birth or during early childhood. Vaccination has greatly reduced its incidence in countries with strong public health systems. Furthermore, it remains a leading cause of cirrhosis and liver cancer worldwide. Hepatitis C, on the other hand, is now curable in most cases thanks to advances in antiviral therapies. Though many people remain undiagnosed due to its often silent progression.

In addition to viral causes, alcoholic hepatitis occurs after long-term heavy drinking, damaging liver cells and triggering inflammation. This form can vary in severity and may develop into cirrhosis if alcohol use continues. Obesity, diabetes, and metabolic syndrome often cause non-alcoholic steatohepatitis (NASH), a type of non-alcoholic fatty liver disease (NAFLD). NASH is growing more common and may soon become a leading reason for liver transplants.

Hepatitis

Autoimmune hepatitis is another form, where the body’s immune system mistakenly attacks liver cells. This condition can affect both adults and children and often requires lifelong immunosuppressive therapy. Drug-induced hepatitis may also result from reactions to medications such as paracetamol (acetaminophen), certain antibiotics, or herbal supplements.

Symptoms of this condition can vary depending on the type and severity of liver inflammation. In many cases, especially in the early stages, individuals may be asymptomatic. When symptoms do occur, they often include fatigue, jaundice (yellowing of the skin and eyes), abdominal pain, nausea, dark urine, pale stools, and loss of appetite. In acute hepatitis, symptoms may resolve within weeks. While chronic forms may persist for years without obvious signs, silently causing liver damage.

Diagnosis is based on clinical history, physical examination, and blood tests to measure liver enzymes, viral markers, and immune function. Imaging and sometimes liver biopsy may be required for further assessment, especially in cases of suspected chronic hepatitis or fibrosis.

Viral hepatitis A and E

Treatment depends on the cause. Viral hepatitis A and E usually require supportive care only, while B and C may need long-term antiviral medication. Autoimmune hepatitis is treated with corticosteroids and immunosuppressants. Furthermore,d alcohol-related or drug-induced hepatitis is managed by eliminating the offending agent and supporting liver recovery.

The prognosis for hepatitis varies. Many acute cases resolve fully with no lasting effects. However, chronic hepatitis can lead to cirrhosis, liver failure, or hepatocellular carcinoma if not detected and managed early. Public health efforts such as vaccination, harm reduction in drug use, safer sex education, screening. Additionally, early treatment play vital roles in reducing the global burden of this disease.

Hepatitis

In summary, hepatitis encompasses a group of liver conditions caused by viruses, toxins, immune disorders, or metabolic issues. It ranges from mild and self-limiting to severe and life-threatening. Early diagnosis, lifestyle modifications, medical management, and preventive strategies can significantly improve outcomes and reduce long-term complications.

[Next: Causes of Hepatitis →]

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