Incomplete Or Failed Response To Treatment
Some people with autoimmune hepatitis have an incomplete response to treatment, meaning that treatment helps but does not lead to remission. If you have an incomplete response to treatment, you may need to take different medicines to help prevent liver damage.
Some people may fail to respond to treatment, meaning that the inflammation and liver damage of autoimmune hepatitis keep getting worse. Your doctor may recommend additional blood tests and higher doses of medicines. If liver damage leads to complications, you may need treatment for complications.
Questions To Ask Your Doctor
- Do I need treatment?
- What treatment is best for me?
- Will I need be hospitalized?
- Are there any medicines I should avoid taking?
- Are there foods I should avoid eating?
- Can I drink alcohol?
- How can I protect my family from getting hepatitis A?
- If Ive had hepatitis A, am I at higher risk of getting other types of hepatitis?
- Will I have permanent liver damage?
- How soon before I travel should I be vaccinated?
Can Hepatitis A Be Prevented Or Avoided
The best way to protect yourself against hepatitis A is to get the vaccine. The hepatitis A vaccination is recommended for all children older than age 1. It begins to protect you only 4 weeks after you are vaccinated. A 6- to 12-month booster is required for long-term protection. Ask your doctor if the vaccination is right for you.
You should also wash your hands with soap and warm water before and after cooking, after using the bathroom, and after changing diapers.
Wash fruits and vegetables thoroughly before eating and avoid raw or undercooked meat and fish.
You are at higher risk for hepatitis A if you:
- Live with or have sex with someone who has hepatitis A
- Travel to countries where hepatitis A is common
- Are a man who has sex with other men
- Use illegal drugs
- Have a clotting-factor disorder
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How Do I Know If I Am Infected With Viral Hepatitis
The number of new HBV and HCV infections has been declining in recent years, but the number of people living with chronic hepatitis infections is considerable, and deaths associated with untreated, chronic hepatitis infections have been on the rise. This is because most people dont know they are infected until the disease has begun to damage the liver, highlighting why screening for viral hepatitis is so important. People with a history of drug use are generally at higher risk, and should discuss their substance use with their health care provider.
Initial screening for HBV or HCV involves antibody tests, which show whether you have been exposed to the hepatitis virus, although not necessarily whether you are still infected. A positive antibody test should then be followed up with a test that measures the amount of virus in your blood. If this follow-up test is positive, then you should seek advice from a physician that specializes in viral hepatitis treatment. Because screening for hepatitis is so critical for linking people who test positive to the care they need, NIDA is studying new rapid HCV antibody tests that can be used in drug treatment settings.
The CDC recommends that people who inject drugs be tested for hepatitis B and C as part of routine medical care. To determine if you are at risk for contracting hepatitis, HHS has created an online assessment tool to help you find out.
What Causes Hepatitis A And How Is It Contracted
People develop hepatitis A infection after contracting HAV. This virus is typically transmitted by ingesting food or liquid contaminated with fecal matter that contains the virus. Once transmitted, the virus spreads through the bloodstream to the liver, where it causes inflammation and swelling.
In addition to transmission from eating food or drinking water containing HAV, the virus can also be spread by close personal contact with an infected person. HAV is contagious, and a person who has hepatitis A can easily pass the disease to others living in the same household.
You can contract hepatitis A by:
- eating food prepared by someone with the hepatitis A virus
- eating food handled by preparers who dont follow strict hand-washing routines before touching food that you eat
- eating sewage-contaminated raw shellfish
- not using condoms when having sex with someone who has the hepatitis A virus
- drinking polluted water
- coming in contact with hepatitis A-infected fecal matter
If you contract the virus, you will be contagious two weeks before symptoms even appear. The contagious period will end about one week after symptoms appear.
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Concerns About Immunisation Side Effects
If a side effect following immunisation is unexpected, persistent or severe, or if you are worried about yourself or your childs condition after a vaccination, see your doctor or immunisation nurse as soon as possible or go directly to a hospital.
Immunisation side effects may be reported to SAEFVIC, the Victorian vaccine safety and central reporting service. Adverse events in other states or territories can be reported through SAEFVAC.
It is important to seek medical advice if you are unwell, as this may be due to other illness rather than because of the vaccination.
There Is No Vaccine For Hepatitis C
But, did you know?
- Hepatitis C can be treated with medication that has cure rates > 90%.
- Earlier diagnosis and treatment lead to better health outcomes.
- Early treatment may even prevent liver disease, liver cancer, or cirrhosis.
Testing is quick and simple with a blood test.
Ask your health care provider for a test if you think you could have hepatitis C.
The best way to know is to get tested.
To learn about how to protect yourself and where you can get tested, visit Canada.ca and search ‘hepatitis C.’
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Hepatitis A And E Symptoms
Hepatitis A and hepatitis E present with similar symptoms. The diseases may develop without any signs or symptoms, or symptoms may be nonspecific. If you experience any of the symptoms below for more than two weeks, make an appointment with a gastroenterologist.
There are three phases of hepatitis A and E, and symptoms may differ depending on the stage. Early in the disease, called the prodromal phase, symptoms may include:
- Fever
How Do You Get Hepatitis A
Hepatitis A can be spread by sexual contact with an infected person or close personal contact . However, it is most often spread by what scientists call the fecal-oral route. This happens when one person eats or drinks something that has small amounts of fecal matter from another person who has hepatitis A. This can happen by touching something that has the virus on it and then putting your hands in your mouth. It can happen when food is grown, picked, processed or served. Water can also be contaminated.
Mothers do not pass on hepatitis A in breast milk. You cannot be infected with HAV by sitting near to or hugging someone with hepatitis A. It does not spread through coughs or sneezes.
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Can Hepatitis A Be Treated
There is no drug treatment for hepatitis A. The disease will eventually run its course and an infected person will recover completely although recovery time varies for each person. Recovery from this virus infection means that you are protected for life from getting it again.
The following are some ways of dealing with the symptoms:
- You will feel tired and may have very little energy. You may need to take time off from daily activities, work or school to recover.
- Nausea and vomiting may cause you to lose your appetite. Try to eat small snacks and soft foods such as soup or toast.
- You may look yellow. Once you become yellow, you are no longer infectious. There is no need to isolate yourself. Let people around you know it is OK to be near you.
- Try not to drink alcohol. Your liver may not be able to process alcohol and alcohol may make your symptoms worse.
- Talk to your doctor before taking over-the-counter medications or complementary medicine. None of the alternative therapies have proved helpful in treating hepatitis A.
Do Medicines Used To Treat Autoimmune Hepatitis Have Side Effects
Medicines for autoimmune hepatitis can cause side effects. Your doctor will monitor any side effects and help you manage them while you take these medicines. Your doctor also may adjust the doses or change the medicines you take. You may need to stop taking corticosteroids or azathioprine if you have severe side effects.
Side effects of corticosteroids may include
- changes in how you look, which may include weight gain, a fuller face, acne, or more facial hair
- liver damage
- pancreatitis
Corticosteroids and azathioprine suppress, or decrease the activity of, your immune system, which increases your risk for infections. These medicines can also increase your risk of developing cancers, especially skin cancers.
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What Do I Need To Know About Having Hepatitis B
If you have chronic hepatitis B, getting the right medical care can help you stay healthy. Taking good care of your liver is important. Talk with your doctor before you take any prescription medication, over-the-counter drugs, vitamins, or nutritional supplements to make sure they wont hurt your liver. You should also stay away from alcohol, because drinking can damage your liver.
Precautionary Treatment After Exposure
If a person has not been vaccinated, and they know they have been exposed to HAV, they can still receive either the vaccine or immune globulin within 2 weeks of the exposure.
This may include:
- colleagues of a food handler who has tested positive for HAV
- employees and children in a daycare center where someone has received a diagnosis of HAV
- anyone in close personal contact with a person who has HAV, including nurses or carers
Which treatment they should receive will depend on the age and health status of the person.
Prevention depends on immunization and good hygiene practices.
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Who Is Likely To Be Affected By Hepatitis A
Certain people are more at risk than others for hepatitis A. These include:
- People who use recreational drugs, both injected and non-injected types.
- Men who have sex with men.
- People who have close contact with someone who already is infected.
- People who have close contact with someone adopted from a country where hepatitis A is common, or people who travel to countries where hepatitis A is common.
- People who work with non-human primates.
- People who have clotting factor issues, including hemophilia.
- People who work in child care, or children who are in childcare.
How Do Doctors Treat The Complications Of Autoimmune Hepatitis
If autoimmune hepatitis leads to cirrhosis, doctors can treat health problems and complications related to cirrhosis with medicines, surgery, and other medical procedures. If you have cirrhosis, you have a greater chance of developing liver cancer. Your doctor may order an ultrasound or other types of imaging tests to check for liver cancer.
If autoimmune hepatitis causes acute liver failure or cirrhosis with liver cancer or liver failure, you may need a liver transplant.
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Who Is At Risk For Infection
Anyone who is not immune to hepatitis A can get hepatitis A infection. Food-borne outbreaks occur sporadically throughout the USA. Certain groups of people do have a higher risk of developing HAV infection and should be vaccinated:
- Persons experiencing homelessness
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How Is Hepatitis A Treated
If you think youâve been exposed to hepatitis A, you should see your doctor right away. Getting a vaccine or a drug called hepatitis A immune globulin could keep you from getting sick. But for this to work, youâll need to get the vaccine very soon after coming into contact with the virus.
Thereâs no treatment once youâve been infected. Youâll have to wait until your body gets rid of the virus. Most people find that their liver is healed within 6 months.
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Treatment Options For Hepatitis B
People living with chronic hepatitis B infection should expect to live a long and healthy life. There are decisions people can make to protect their livers such as seeing a liver specialist or health care provider regularly, avoiding alcohol and tobacco, and eating healthy foods. There are also approved drugs for both adults and children that control the hepatitis B virus, which helps reduce the risk of developing more serious liver disease, but there is still no complete cure.
Current treatments for hepatitis B fall into two general categories:
- Immune modulator Drugs These are interferon-type drugs that boost the immune system to help get rid of the hepatitis B virus. They are given as a shot over 6 months to 1 year.
- Antiviral Drugs These are drugs that stop or slow down the hepatitis B virus from reproducing, which reduces the inflammation and damage of your liver. These are taken as a pill once a day for at least 1 year and usually longer.
It is important to know that not everyone with chronic hepatitis B infection needs to be treated. This can be difficult to accept when first diagnosed because taking a drug to get rid of the virus seems like the first step to getting better. Current treatments, however, are generally found to be most effective in those who show signs of active liver disease .
Hepatitis B Drug Watch
Visit the HBF Drug Watch for a complete list of the approved treatments for hepatitis B and promising new drugs in development.
When To Seek Medical Care For Hepatitis A
Contact a healthcare professional if any of the following symptoms occur:
- Nausea and vomiting that does not improve within 1-2 days
- Yellow skin or eyes
The following situations also warrant a call to a healthcare professional:
- You have symptoms and think that you might have been exposed to someone with hepatitis.
- You have other medical problems and think that you might have hepatitis.
- You have had close contact with someone diagnosed with hepatitis.
If you cannot reach your primary doctor and have any of the following symptoms, go to an emergency department or an urgent care facility:
- Vomiting and inability to keep down any liquids
- Severe pain or high fever
- Confusion, delirium, or difficulty awakening
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Side Effects Of Immunisation Against Hepatitis A
Immunisations against hepatitis A are effective and safe. All medications can have side effects.
For most people, the chance of a serious side effect from a vaccine is much lower than the chance of serious harm if you catch the disease.
Common side effects from the hepatitis A vaccine include:
- localised pain, redness and swelling at the injection site
- low-grade temperature
- headache.
How Is It Tested For And Diagnosed
After you discuss your symptoms with your doctor, they may order a blood test to check for the presence of a viral or bacterial infection. A blood test will reveal the presence of the hepatitis A virus.
Some people have only a few symptoms and no signs of jaundice. Without visible signs of jaundice, its hard to diagnose any form of hepatitis through a physical examination. When symptoms are minimal, hepatitis A can remain undiagnosed. Complications due to a lack of diagnosis are rare.
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Viral Hepatitisa Very Real Consequence Of Substance Use
Hepatitis is an inflammation of the liver. It can be caused by a variety of toxins , autoimmune conditions, or pathogens .1 Viral hepatitis is caused by a family of viruses labeled A, B, C, D, and E. To learn more about the route of transmission and prognosis for each virus, visit the Centers for Disease Control and Preventions Division of Viral Hepatitis. Hepatitis B and hepatitis C are the most common viral hepatitis infections transmitted through the sometimes risky behaviors of people who use drugsparticularly among people who inject drugs. An estimated 862,000 people are living with HBV chronic infections, with about 22,000 acute infections recorded in 2017. An estimated 2.4 million Americans are living with HCV based on 2013-2016 annual average, with an estimated 44,700 new cases of acute HCV in 2017. In fact, new cases of acute HCV have increased rapidly in the US since 2010, and have most often been associated with injection drug use.6 Three out of four people living with HCV are baby boomers born between 1945 and 1965.7
When Will Symptoms Appear After You Have Been Exposed To Hav
It generally takes about 4 weeks for symptoms to appear, but they can start at 2 weeks or they can start up to 8 weeks after you have been exposed. You probably wont get every symptom immediately, but they tend to emerge over days.
Also, you can have no symptoms and have the virus and be contagious. Children especially may be free of symptoms despite being infected.
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How Do Doctors Diagnose Hepatitis A
Doctors diagnose hepatitis A based on symptoms and a blood test. A health care professional will take a blood sample from you and send the sample to a lab. A blood test will detect antibodies to the hepatitis A virus called immunoglobulin M antibodies and show whether you have acute hepatitis A. If the blood test finds antibodies to the hepatitis A virus that are not IgM antibodies, then you are immune to hepatitis A, due to either past hepatitis A infection or hepatitis A vaccination.