Is icteric hepatitis contagious?

Icteric hepatitis is a liver disease combined with acute hepatitis. Icteric hepatitis can easily lead to high fever, frequent feeling of coldness, etc. Since icteric hepatitis is a viral liver disease with a certain degree of infectiousness, attention should be paid to isolation and hygiene.

Jaundice hepatitis is caused by the hepatitis virus, so jaundice hepatitis is contagious. Therefore, patients should undergo regular check-ups and choose a treatment method that suits their condition to avoid treatment misunderstandings. They should use selenium malt and schisandra tablets for auxiliary conditioning to better ensure the effectiveness of treatment. In daily life, you should pay attention to eating a light diet, avoid eating greasy, spicy and irritating foods, and do not smoke or drink, so as not to increase the burden on the liver and cause the condition to worsen. I wish you good health.

Symptoms of jaundice hepatitis

1. Urine is yellow like tea: Patients with icteric hepatitis all have symptoms of yellow urine. Initially the urine is light yellow in color, which gradually darkens day by day, becoming as thick as tea or soybean oil; then the skin and sclera turn yellow. The reason why urine color becomes darker is that the hepatitis virus causes liver cell damage, affecting the metabolism of bilirubin and causing more bilirubin to enter the blood.

2. Pain in the liver area: It is called icteric hepatitis, which will definitely cause liver damage. The location of the pain is in the right upper abdomen. The reason for the symptom of icteric hepatitis such as pain in the liver area is that the hepatitis virus causes the liver to swell, increasing the tension of the liver capsule and causing inflammation to spread to the liver ligaments and the surrounding tissues.

3. Fever: When patients with jaundice hepatitis have fever symptoms, many people will misdiagnose it as a cold and fever, which delays the timely treatment of the disease. The cause of fever is hepatocellular necrosis, liver dysfunction, decreased detoxification and excretion function, or viremia.

Clinical manifestations

Pre-icteric

During this stage, due to individual differences and complex and diverse patient manifestations, it is easy to be misdiagnosed, and special attention should be paid. For example, some patients present with upper respiratory tract inflammation, similar to a cold. Some patients may experience joint pain and be mistaken for rheumatism. A small number of people also have severe abdominal pain and mistakenly think it is acute abdomen. A small number of people may also develop measles. At the end of this period, physical examination may reveal percussion pain and tenderness in the liver area. The liver can be touched below the rib margin in more than half of the patients. Serum alanine aminotransferase (ALT) is significantly elevated and urine bilirubin is positive. Hepatitis B surface antigen is positive and hepatitis B core antibody immunoglobulin M (anti-HBcIgM) is positive. During this period, the patient's blood, feces, urine, and vomit contain a large amount of hepatitis virus, making it highly contagious.

Jaundice stage

Jaundice appears after the fever subsides. The sclera is often the first to turn yellow, followed by yellowing of the entire body, reaching its peak within a few days to 2 to 3 weeks. Most cases have mild to moderate jaundice. At this time, gastrointestinal symptoms worsen, the liver is enlarged, with tenderness and percussion pain; in a few cases, the spleen is enlarged and can be touched under the marginal margin. Some patients also experience skin itching, bradycardia, abdominal pain and rash. After resting for a few days, the patient's nausea was relieved, vomiting disappeared, and appetite gradually improved. The white blood cell count is generally normal or slightly low, the lymphocyte count is high, and a small number of abnormal lymphocytes may be present. Urine bilirubin and urobilinogen are positive (urobilinogen may be temporarily negative in patients with very deep jaundice and grayish white stool). The serum ALT activity increases significantly, often above 400u, and this period lasts for 2 to 6 weeks or longer.

Recovery period

During this period, jaundice, liver enlargement and other symptoms gradually subside, appetite returns to normal, but mild pain in the liver area still exists. This period lasts an average of one month. In a few cases, jaundice is significant and lasts for several months. Fatigue, liver pain and gastrointestinal symptoms are not very obvious. Liver function shows obstructive jaundice, and ALT is only slightly or moderately elevated. This is called cholestatic hepatitis. Complications: A small number of cases may be complicated by one or more of the following: myocarditis, pericarditis, miliary viral pneumonia, pancreatic necrosis, diabetes, meningoencephalitis, acute polyradiculitis, acute hemolytic anemia, pancytopenia, aplastic anemia, thrombophlebitis, nephritis, orchitis, papular dermatitis, and multiple arthritis.