What are the early symptoms of hepatitis?

  Hepatitis is a collective term for inflammation of the liver. It usually refers to the destruction of liver cells by a variety of pathogenic factors – such as viruses, bacteria, parasites, chemical toxins, drugs, alcohol, and autoimmune factors – and damage to liver function, causing a series of uncomfortable symptoms in the body, as well as abnormal liver function indicators.  Due to the different causes that trigger hepatitis, although there are similar clinical manifestations, there are often significant differences in etiology, serology, mechanism of injury, clinical course and prognosis, extrahepatic damage, diagnosis and treatment.  1, loss of appetite, nausea and aversion to oil: this is the majority of hepatitis patients have symptoms, especially in patients with xanthogranulomatous hepatitis performance more serious. The liver is the largest “chemical plant” in the body, involved in all the metabolic processes in the body. The secretion of bile is one of the important functions, and the bile salts in the bile play an important role in the absorption and digestion of fats. After suffering from hepatitis, because the hepatitis virus induces a large number of liver cell destruction, the function of bile secretion is reduced, which affects the digestion of fat, so the aversion to oily food, suffering from hepatitis when the gastrointestinal tract is congested, edema, peristalsis is weakened, gastrointestinal dysfunction, also affects the digestion and absorption of food, plus the metabolites can not be detoxified by the liver, stimulating the central nervous system, so it leads to loss of appetite, nausea and aversion to oily food acute viral hepatitis produces Decreased appetite and other symptoms.  2, fatigue and weakness: This is one of the early manifestations of the onset of hepatitis patients -. Patients often do not say when the disease began, and its performance varies, the lighter inactive, the heavier bedridden, even wash their faces, do not like to eat. Despite adequate rest, fatigue is not eliminated, and in severe cases, it is as if the limbs are separated from the body. The reason is due to the patient’s loss of appetite, digestion and absorption disorders, resulting in the body’s lack of energy; secondly, due to the destruction of liver cells caused by the virus, so that the liver manufacturing and storage of glycogen is reduced; in addition, the lack of vitamins, electrolyte disorders and liver cell destruction caused by the reduction of cholinesterase in the blood, affecting the normal function of nerves and muscles, resulting in indescribable general weakness.  3, yellow urine like tea: jaundiced hepatitis patients have symptoms of yellow urine. Initially, the urine is light yellow, deepening day by day, as thick as tea or soybean oil; followed by yellowing of the skin and sclera. Under normal circumstances, the life span of human red blood cells is 120 days, the destroyed red blood cells will release hemoglobin, after a series of decomposition and metabolism, into a yellow substance called bilirubin. Due to the destruction of liver cells caused by hepatitis virus, the metabolism of bilirubin is affected, so that bilirubin enters the bloodstream more and is excreted out of the body through urine more than usual, so the color of urine deepens. The more yellow the color of the urine, indicating that the heavier the destruction of liver cells, the condition improves the urine color gradually returned to normal.  4, fever: acute xanthogranulomatous hepatitis early often have fever, mostly in 37.5-38.5 degrees Celsius, high fever is rare, usually lasting 3-5 days, and without xanthogranulomatous hepatitis fever is much lower than xanthogranulomatous hepatitis. Many patients with fever also have peripheral discomfort and loss of appetite, mistaking them for the flu. Many patients with xanthogranulomatous hepatitis are often treated as a cold in hospital outpatient clinics and are only diagnosed 3-5 days later when xanthogranuloma appears, due to a lack of awareness of the symptoms of hepatitis fever. The cause of fever may be caused by hepatocyte necrosis, liver dysfunction, reduced detoxification and excretion or viraemia.  5, liver pain: hepatitis patients often complain of pain in the liver area, involving the right upper abdomen or right back, with varying degrees of pain, some distension, dull pain or pinprick-like pain, which intensifies with activity and varies in time; sometimes the pain is relieved when lying on the left side. The reason is that the hepatitis virus causes enlargement of the liver, which increases the tension of the liver peritoneum; the inflammation spreads to the ligament of the liver and its surrounding tissues; in addition, the virus often involves the gallbladder and the biliary system when suffering from hepatitis, causing inflammation in the gallbladder] and the surrounding tract. There are also patients who do not have liver pain at the beginning of the disease, and once they are diagnosed with hepatitis, they often complain of discomfort and pain in the liver area, which may be due to mental factors. For those with persistent pain that does not resolve for a long time, careful examination should be performed to rule out other causes.  6, other: a few cases of heavy hepatitis are seen with abdominal distension, oliguria, bleeding tendency and impaired consciousness.  We should seek early diagnosis according to the early symptoms, which can slow down the disease, shorten the treatment time and improve the prognosis.