Viral Hepatitis

Comprehensive care for digestive disorders by Dr. Akeel Alisa

Understanding Viral Hepatitis

Hepatitis means inflammation of the liver. When caused by a viral infection, it is referred to as viral hepatitis. Several different viruses can lead to hepatitis, the most common being Hepatitis A, B, C, D, and E. Each virus affects the liver differently, and while some infections clear on their own, others can become chronic and lead to long-term complications such as cirrhosis, liver failure, or liver cancer.

Viral hepatitis is a global health concern but, with modern treatments and preventive strategies, most cases can be effectively managed and many can be cured.

Types of Viral Hepatitis

  • Hepatitis A (HAV): Usually spread through contaminated food or water. It causes an acute, short-term illness and does not lead to chronic disease. A vaccine is available.
  • Hepatitis B (HBV): Transmitted through blood and body fluids (sexual contact, sharing needles, or from mother to child at birth). It can be acute or chronic. A vaccine provides lifelong protection.
  • Hepatitis C (HCV): Spread mainly through blood-to-blood contact, often via needles or medical exposure. It is a leading cause of chronic liver disease but is now curable with modern antiviral treatments.
  • Hepatitis D (HDV): Only occurs in people who are already infected with hepatitis B. It can cause more severe disease.
  • Hepatitis E (HEV): Usually spread through contaminated water or undercooked pork. In most people it is short-term, but it can be serious in pregnant women or people with weakened immune systems.

Symptoms of Viral Hepatitis

Viral hepatitis often causes few or no symptoms in the early stages. When symptoms do occur, they may include:

  • Fatigue and weakness
  • Loss of appetite
  • Nausea and vomiting
  • Abdominal pain, particularly in the upper right side
  • Dark urine and pale stools
  • Jaundice (yellowing of the skin and eyes)
  • Fever and flu-like symptoms (in acute cases)

Because chronic hepatitis B and C can remain silent for years, regular screening is important in at-risk individuals.

When to See a Specialist

You should seek medical advice if you:

  • Have abnormal liver blood tests
  • Were told you are a hepatitis carrier or had past exposure
  • Have risk factors such as unprotected sex, blood transfusions before the early 1990s, or intravenous drug use
  • Were born in or travelled to regions with high prevalence of hepatitis
  • Have family members with hepatitis B or C

Diagnosis

A gastroenterologist or hepatologist can confirm viral hepatitis using:

  • Blood tests to detect hepatitis virus markers and measure viral load
  • Liver function tests to assess inflammation or damage
  • Fibroscan (elastography): To measure liver scarring or stiffness
  • Ultrasound or MRI scans to look for complications
  • Liver biopsy in selected cases

Treatment and Management

Treatment depends on the type of virus:

  • Hepatitis A & E: Usually short-term; supportive care is given until recovery.
  • Hepatitis B: May require antiviral tablets to suppress the virus and reduce the risk of complications. Regular monitoring is essential.
  • Hepatitis C: Modern antiviral tablets (DAAs) can cure over 95% of cases within 8–12 weeks.
  • Hepatitis D: More difficult to treat, but newer therapies and clinical trials are available.

Vaccines are available for Hepatitis A and B, and can prevent infection.

Long-Term Risks if Untreated

Chronic hepatitis B or C can lead to:

  • Liver cirrhosis
  • Liver failure
  • Liver cancer (hepatocellular carcinoma)

Early diagnosis and treatment significantly reduce these risks.

Why See a Hepatology Specialist?

Specialist care ensures:

  • Accurate diagnosis of the type of hepatitis
  • Access to the latest antiviral therapies
  • Regular monitoring to prevent complications
  • Holistic care addressing nutrition, lifestyle, and long-term wellbeing
  • Reassurance and support at every stage of treatment
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My consultation with Dr Akeel Alisa was highly satisfactory and he was very thorough. The Gastroscopy procedure was performed satisfactorily with no pain or discomfort at all. I am very pleased with treatment received so far.

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I was fully vaccinated investigated by Dr Akeel Alisa and I was reassured. My endoscopy and colonoscopy were straight forward and painless. I am very happy with the care I received.

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Dr Akeel Alisa and Nursing team at Cromwell Hospital Endoscopy team offered me great care and all was perfect. Well pleased.

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