Doctor insights on:
Is There Is Any Difference Between Leptospirosis And Viral Hepatitis
Yes: Leptospirosis is caused by a bacteria, leptospira bacteria. It can cause liver disease in humans, but usually is a manifestation of a systemic involvement with other injury to kidneys and lungs (then called weil's syndrome). Treatment is to make the right diagnosis and use of antibiotics. Viral hepatitis is caused by a variety of viruses and treatment depends on the type of virus and chronicity. ...Read more
Short and long: Acute hepatitis is the period of initial infection in which your naive immune system develops antibodies to the invading hep a, b or c. If everything works well your body defeats the infection and the invaders are cleared from your system. In chronic hepatitis the invading hep b or c particles evade the immune system and persist in the cells of your liver causing longstanding damage. ...Read more
Depends on virus: Acute viral hepatitis is a self limiting infection. Hepatitis a is only an acute infection and does not progress to chronicity. For hepatitis b, about 10-15% of patients with acute hepatitis will develop chronic hbv. In contrast, for hepatitis c, 75-80% of patients with acute hepatitis will develop chronic hcv. Chronicity develops when the immune system is unable to clear the virus. ...Read more
Infection vs toxin: Viral hepatitis occurs after the virus gets into the liver where it injures the tissue while reproducing the virus. The areas involved cannot keep us with the regular liver work and symptoms continue until healing. Alcohol can be processed without liver injury up to a point. After that threshold is exceded it becomes toxic & the liver cells begin to die off & scar ...Read more
Things to ponder: Hep B is a hardy virus, with infection documented from an accidental needle stick while cleaning out a house vacant X 6mo. It is a blood borne & sexually transmitted disease that is a leading cause of liver failure/ liver cancer & need for transplant. Anyone who might have exposure to another person's blood at any time in their life can benefit from the protection. ...Read more
Hepatitis B: If this is new most infections clear on their own. However, if you have the chronic active form there are several medications that can keep the infection at bay and give your liver a chance to recover. If I knew where you lived I could perhaps help you there.... But find one who knows how to aggressively work with you to suppress this virus. ...Read more
Depends: If they have been good or bad (ie sexual exposures, IV drug use). ...Read more
Depends: Since most viral hepatitis can be transferred with blood transfusions, extra precautions and testing are done to assure that donated blood is free of virus. However it is critical that you tell the center of any known or suspected history of exposure. In some cases, when the viral infection has been eliminated (such as hepatitis a), over some extended period of time, it is permissible to donate. ...Read more
Assays.: These kinds of diseases are tested for ny tests called assays that test for viral antigen oe antibodies to the viral antigens or proteins. For example, the hepatitis b surface antigen (hbsag) is the screening testy for hepatitis b infection. Meanwhile, the anti-hbs antibody tells if the person has recovered from the hepatitis b infection, or has been vaccinated. ...Read more
Progressive HCV: Although I was a coauthor on the first report of using interferon for hepatitis b, there is now oral and more effective therapy. It, so far, is still used in combination with other therapy for progressive hepatitis c based on a variety of parameters including liver biopsy and certain blood tests. Many, perhaps most people with chronic hcv die with it but not of it. ...Read more
Not uncommon: In the us, there are between 3.5 million to 5.3 million americans have chronic viral hepatitis. There are some high risk groups - one out of every 7 african american men in their 40s is living with chronic hepatitis c, and approximately 1 in 12 asian americans is living with chronic hepatitis b. In the us, viral hepatitis causes 12, 000 to 15, 000 deaths annually from cancer and liver failure. ...Read more
Depends on Type:
Hepatitis b is usually treated with a single oral medication although peg-interferon is used in select patients.
Hepatitis c is treated with a combination of peg-interferon, Ribavirin and possibly either telepavir or bocephivir (depending on genotype). All hcv treatment includes interferon however this may change over the next 305 years. ...Read more
Depends: The most common types of hepatitis are a, b, and c. People get hep a from contaminated food or water, hep b from blood or other bodily fluids, and hep c from blood. Hep b and c can be transmitted by sexual activity, sharing needles, blood transfusions that occurred prior to 1990 etc. Hep b & c can also be transmitted in transplanted organs. ...Read more
Blood tests: Viral hepatitis is inflammation of the liver caused by either hepatitis b, hepatitis a, or hepatitis c. Viral hepatitis can be prevented by vaccination for hepatitis a and b, but there is no vaccination for hepatitis c. The symptoms are often vague, such as fatigue, nausea and vomiting and diagnosed by abnormal liver function tests and by detection of the virus or antibodies to the virus in blood. ...Read more
A through E: Of the viruses causing hepatitis as the main manifestation, there are five. A and e are spread fecal-orally usually thru contaminated water or food. The others are spread thru blood and body fluids. ...Read more
See below.: The signs of viral hepatitis are jaundice (yellow color to the skin and/or whites of eyes), vomiting, nausea, fever, fatigue, loss of appetite, muscle aches and pains, light color/white stool, itchy skin & abnormal liver function tests. Children can also have cold symptoms, cough and sore throat. Not all the symptoms need be present. ...Read more
Varies: Ranges from none to fatigue, joint aches, rash, nausea, vomiting, fever, abdominal pain, weight loss, bleeding/bruising, altered mental status, yellow eyes, skin, dark urine, itching, distaste for meat, proteins, tobacco, etc. Signs on exam can include jaundice, enlarged, tender liver, skin changes, abdominal fluid, altered neurological findings, abnormal lab tests, etc. ...Read more
20% chance: Yes, you have an approximate 20% chance... ...Read more
Fatty food makes sic: When you have hepatitis you liver is not functioning, and fatty foods are not well tolerated and can be symptomatic difficulty in absorption, till the acute process is over especially in hepatitis a. ...Read more
Those at risk: See cdc website or advisory committee for immunization practices (acip). Too many specifics to cover here. For hep b which is the most common viral hep, risk groups are those on hemodialysis, high risk sexual behavior, those with chronic liver disease, those with diabetes, household contacts of pt's with hep b, those with chronic liver disease, healthcare workers, and neonates of hep b mothers. ...Read more
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