Several common symptoms of hepatitis

  Many people are most concerned about what their body will show if they have hepatitis. That means what are the symptoms of hepatitis? In general, acute hepatitis symptoms are more obvious and easy to determine, while chronic hepatitis is often less prominent symptoms, or even no discomfort, and easy to be ignored.  The following is an introduction to several common symptoms of hepatitis: 1, weakness, generally speaking, there are several reasons: 1, as mentioned earlier, the liver is a large chemical plant in the body, and the main energy-supplying substances in the body, glucose, protein, fat and other metabolism, are inseparable from the liver’s participation. Once you have hepatitis, the function of the liver is damaged, the metabolism of the above-mentioned substances is impaired, resulting in insufficient energy supply, the body easily feel weak.  2, during the period of hepatitis is often accompanied by loss of appetite, insufficient dietary intake, but also aggravate the lack of energy.  3, because of the impaired metabolism of sugar, the lactic acid produced by the human muscle activity can not be converted in time, and accumulate in the body, also easy to cause weakness.  4.After liver injury, the metabolism of certain enzymes in the body is impaired, which also affects the normal physiological function of nerves and muscles and makes it easy to feel weak.  5, if hepatitis develops to the stage of cirrhosis, the body often occurs water, electrolytes and acid-base imbalance, will also cause fatigue and weakness.  Second, decreased appetite and other digestive symptoms: The liver is one of the largest digestive organs in the body, most patients with hepatitis will have a loss of appetite, anorexia and other symptoms, especially in the acute phase, some patients accompanied by other digestive symptoms, such as nausea, vomiting, abdominal distension. This is because the liver, as an important organ of the digestive system, has many important digestive functions. When a person suffers from hepatitis, liver cells are damaged, bile secretion is reduced, and the ability to digest fat and protein is decreased. While causing a decrease in appetite, the damaged liver cells reduce the detoxification function of the liver and endotoxins irritate the intestines, leading to poor digestion. Similarly, due to the damage to liver cells, it may lead to excessive accumulation of bilirubin in the blood, which can also cause nausea and vomiting. In addition, the gastrointestinal tract of patients with hepatitis is also often accompanied by inflammation, which makes food not easily digested and stays in the intestine to ferment and produce gas, resulting in bloating. In patients with severe hepatitis or cirrhosis, abdominal distension may be more serious and persistent because of toxic bullae and ascites.  Third, fever: acute viral hepatitis patients often have fever during the onset, or called flu-like symptoms, such as acute jaundice hepatitis patients at the beginning of the onset of the body temperature of about 38 ℃, 3 to 5 days after the fever can subside on its own; some patients appear high fever, accompanied by chills, acute non-jaundice hepatitis patients often show low fever, which is mainly because the virus into the body caused by viraemia, stimulating the body Fever. Chronic viral hepatitis or cirrhosis, as well as drug hepatitis, alcoholic hepatitis, etc. can also appear hypothermia, more obvious in the afternoon or night fever, can be repeated, or prolonged for a long time, the cause is mainly due to hepatitis-induced hepatocyte necrosis, liver function is damaged, liver detoxification function is reduced, prompting the body metabolic changes, and metabolites can not be removed in a timely manner, stimulating the thermoregulatory center and caused. . Patients who have progressed to cirrhosis, especially in the decompensated stage of cirrhosis, should pay more attention if they have persistent fever or high fever because it often means complicated infections such as peritonitis, sepsis and urinary, intestinal and respiratory tract infections, which can sometimes be fatal. Cirrhosis with fever may also be due to portal phlebitis, portal vein thrombosis, and perihepatic inflammation. Sometimes it may also be accompanied by acute cholecystitis, cholelithiasis, etc. In addition, the tumor fever caused by cirrhosis or accompanied by liver cancer should not be ignored.  Fourth, discomfort or pain in the liver area: Patients with hepatitis often feel discomfort or even pain in the liver area, involving the right upper abdomen or the right back, with varying degrees, some just feel uncomfortable, while others have distension, dull pain or pins and needles-like pain with no obvious regularity. In fact, the liver itself does not have nerves and it is impossible to feel it. The reasons for the discomfort in the liver area are: one is that the inflammation of the liver causes enlargement of the liver, which increases the tension of the liver’s envelope, which has nerves; sometimes liver inflammation can spread to the liver ligament and its surrounding tissues; in addition, when suffering from hepatitis, the lesions often involve the gallbladder and the biliary system, causing inflammation in and around the gallbladder, bile duct. There are also patients who do not have liver pain at the beginning of the disease, but once hepatitis is diagnosed, they often complain of discomfort and pain in the liver area, which may be due to mental factors. In addition, liver cancer is also a major cause of discomfort or pain in the liver area, but small liver cancers in early stage often do not have any discomfort. Once cancer pain appears, it is likely that the tumor has grown to a certain size, which means it has reached the middle and late stage of the disease.  5. Jaundice symptoms such as yellow eyes, yellow body, yellow urine, etc.: The mechanism of jaundice produced by hepatitis has been introduced in detail in the previous article, so we will not repeat it here. Just to emphasize one point, the appearance of jaundice does not necessarily mean that you have hepatitis, and hepatitis does not necessarily require the appearance of jaundice. There is also the fact that hepatitis accompanied by jaundice often means that the liver is more damaged and should be taken seriously enough. In a few patients with heavy hepatitis, or decompensated cirrhosis, there is often also intractable abdominal distention, oliguria or even anuria, lower limb edema, bleeding tendencies, and impaired consciousness in severe cases, suggesting critical condition and poor prognosis.  It is worth noting that due to the difference in physical condition and tolerance between people, the severity of the above symptoms varies from patient to patient, sometimes the disease is not serious but the clinical symptoms are typical, while sometimes the disease has reached a considerable degree but the clinical symptoms are not necessarily serious. Clinically, we often see patients with severe hepatitis, advanced cirrhosis or advanced liver cancer, who have missed the best time for treatment.  Therefore, we advocate that even in the absence of any discomfort, healthy people should have regular medical checkups (once every 6-12 months depending on their condition), and those at high risk of hepatitis with a history of alcohol consumption, hepatitis or family history of liver cancer should have frequent checkups (preferably once every 3-6 months). In addition, many other diseases can have the symptoms listed above, so it is important to seek medical attention when you are unwell.