Hepatitis

About

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What is Hepatitis?

Hepatitis is inflammation of the liver, most often caused by viral infections, autoimmune disorders, toxins, or medications. Viral hepatitis is the most common form and includes hepatitis A, B, C, D, and E. Hepatitis can be acute (short-term) or chronic (long-lasting), and if left untreated, it can lead to liver scarring (fibrosis), cirrhosis, or liver cancer.

Hepatitis can affect anyone, but risk factors such as poor sanitation, unprotected sex, intravenous drug use, or underlying health conditions increase susceptibility. Early diagnosis and treatment are crucial to prevent complications.

Is Hepatitis common?

Yes. Millions of people worldwide are affected by hepatitis, especially hepatitis B and C. Many individuals with chronic hepatitis may remain asymptomatic for years, unknowingly damaging their liver. Vaccines are available for hepatitis A and B, which have significantly reduced infection rates where widely administered.

Can Hepatitis be cured?

The outlook depends on the type of hepatitis:

  • Hepatitis A and E are usually self-limiting and resolve without long-term consequences.
  • Hepatitis B and C can be chronic; hepatitis C is often curable with antiviral therapy, while hepatitis B can be controlled but not fully eradicated.
  • Autoimmune hepatitis may require lifelong immunosuppressive treatment.

Causes

What causes Hepatitis?

Hepatitis may result from several factors, including:

  • Viral infections – hepatitis A, B, C, D, E
  • Autoimmune disorders – the immune system attacks liver cells
  • Alcohol abuse – can cause alcoholic hepatitis
  • Medications and toxins – acetaminophen overdose, certain antibiotics, or industrial chemicals
  • Metabolic or genetic conditions – fatty liver disease, Wilson’s disease

With Insurance

Hepatology

Your copay
Depending on insurance

Without Insurance

*Price Effective 12/1/2025
$125
Initial Visit
$95
Follow Up

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Symptoms

What are the symptoms of Hepatitis?

Symptoms vary depending on the type and severity, and some people may have no symptoms initially. Common signs include:

  • Fatigue and weakness
  • Loss of appetite and nausea
  • Abdominal pain, especially in the upper right side
  • Jaundice (yellowing of skin and eyes)
  • Dark urine and pale stools
  • Fever or malaise
  • Joint pain in autoimmune hepatitis
  • Swelling in legs or abdomen (advanced cases)

Diagnosis

How is Hepatitis diagnosed?

Diagnosis involves medical evaluation, lab tests, and sometimes imaging:

  • Medical history and physical examination – assessing risk factors, alcohol use, and symptoms
  • Blood tests – liver function tests (ALT, AST, bilirubin), viral serologies, autoimmune markers
  • Imaging – ultrasound, CT, or MRI to evaluate liver structure
  • Liver biopsy – may be performed to assess inflammation, fibrosis, or rule out other liver diseases
  • Specialized tests – viral load tests, genotyping for hepatitis B or C

Treatment

How is Hepatitis treated?

Treatment depends on the cause of hepatitis:

Lifestyle and supportive measures:

  • Adequate rest and nutrition
  • Avoiding alcohol and hepatotoxic medications
  • Vaccination for preventable types (hepatitis A and B)
  • Maintaining healthy weight and controlling metabolic conditions

Medical treatments:

  • Antiviral therapy – for hepatitis B and C
  • Immunosuppressive therapy – for autoimmune hepatitis
  • Medications for complications – such as managing ascites, bleeding, or hepatic encephalopathy

Procedures:

  • Liver transplantation – for severe liver failure or end-stage chronic hepatitis

Early diagnosis and adherence to treatment plans can prevent progression to cirrhosis, liver cancer, or liver failure.

References

Medically reviewed by:

Dr. Javeed Siddiqui, MD, MPH

Dr. Siddiqui is the Chief Medical Officer at TeleMed2U responsible for clinical and technical program development as well as maintaining a thriving telemedicine practice in infectious diseases which includes specialized care of Hepatitis and HIV.

Meet our doctors

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Affordable – with or without insurance

With Insurance

Hepatology

Your copay
Depending on insurance

Without Insurance

*Price Effective 12/1/2025
$125
Initial Visit
$95
Follow Up

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Heading 3

Heading 4

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Heading 6

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Unordered list

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