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>>The most common of the seven known types of viral hepatitis. Infection with the hepatitis A virus leads to inflammation of the liver, but complications are rarely serious.
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A short, mild, flu-like illness; nausea, vomiting and diarrhea; loss of appetite; weight loss; jaundice (yellow skin and whites of eyes, darker yellow urine and pale faeces); itchy skin; Abdominal pain.
The infection usually clears in up to 2 months, but may occasionally recur or persist longer in some people. Once a person has been infected and their body has fought off the virus they are permanently immune. Occasionally symptoms may be severe and require monitoring in hospital.
Hepatitis B
>>Hepatitis B is similar to hepatitis A in its symptoms, but is more likely to cause chronic long-term illness and permanent damage to the liver if not treated.
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A short, mild, flu-like illness; nausea, vomiting and diarrhea; loss of appetite; weight loss; jaundice (yellow skin and whites of eyes, darker yellow urine and pale faeces); Itchy skin.
If symptoms become severe then a person with hepatitis B may be admitted to hospital. Most adults infected with the hepatitis B virus fully recover and develop lifelong immunity. Between 2% and 10% of individuals infected as adults will become chronic carriers, which mean they will be infectious to others and can develop chronic liver damage. Infected children, especially newborn babies, are much more likely to become chronic carriers. If a person lives with hepatitis B infection for a number of years then they may develop the following complications: y y y chronic hepatitis liver cirrhosis liver cancer
Follow-up
A patient with an active infection will be advised to have regular blood tests and physical check-ups to monitor the virus, even if they are not receiving treatment. All carriers of HBV should expect to be referred to specialist services. The doctor or nurse may advise the patient to avoid alcohol, fatty foods and follow a low-salt diet. They will also describe any precautions necessary to ensure the patient avoids infecting others with the virus, such as not sharing toothbrushes or shaving equipment. It is important to use a condom for penetrative sex to prevent passing on the virus. Sexual partners of the patient should be tested and immunised against HBV (if not already infected).
Hepatitis C
>>Hepatitis C, like other forms of hepatitis, causes inflammation of the liver. The hepatitis C virus is transferred primarily through blood, and is more persistent than hepatitis A or B.2
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Hepatitis C cannot be passed on by hugging, sneezing, coughing, sharing food or water, sharing cutlery, or casual contact.
About 20% of individuals who become infected with HCV will clear the virus from their body within 6 months, though this does not mean they are immune from future infection with HCV. The other 80% of people will develop chronic hepatitis C infection, during which the virus may cause mild symptoms or no symptoms at all. These people will however carry the hepatitis C virus for the rest of their lives and will remain infectious to others. If a person lives with hepatitis C infection for a number of years then they may develop the following complications: y y y chronic hepatitis liver cirrhosis liver cancer
If symptoms become severe then a person with hepatitis C may be admitted to hospital for monitoring and treatment.
A patient will also require regular check-ups to monitor their progress. It is important to remember that if HCV treatment is effective and the infection is cleared, this does not mean the patient has future immunity to hepatitis C.
Prevention
Currently, there is no vaccine for hepatitis C, but research is in progress. Like HIV, HCV can mutate easily, which makes vaccine development complicated. As no vaccine exists, all measures should be taken to prevent HCV transmission. Injecting drug users should never share any needles, syringes or mixing spoons, as blood can be transferred between users. Infection through penetrative sex does occur, although it is not common. If a person is infected with HCV, it is advisable for them to use a condom for penetrative sex to ensure they do not pass on the virus to their partners through any open genital cuts or sores. People should avoid sharing toothbrushes, shaving equipment (especially razors), or anything else that may be contaminated with infected blood. The doctor will advise the patient of any precautions necessary to avoid infecting others with the virus.
Follow-up
If a patient has been diagnosed with hepatitis C infection, they will be advised to have regular blood tests and physical check-ups. The infected person should limit the amount of alcohol they drink as alcohol puts strain on the liver. The doctor may also advise avoiding fatty foods and following a low-salt diet.
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