What are the symptoms of acute severe hepatitis?

Many people have acute severe hepatitis. This disease usually develops rapidly and recovery is not fast, so everyone should be vigilant. Generally, many people with acute severe hepatitis may first enter the early stage of jaundice, and then enter the jaundice stage, and then go through a recovery period, which will completely lead to an attack of hepatitis, so everyone must be vigilant.

(1) Pre-jaundice: The disease usually starts slowly, with mild fever or no fever, and joint pain and rash are common. Common symptoms include fatigue, loss of appetite, aversion to greasy foods, nausea, vomiting, and sometimes abdominal pain and diarrhea. This phase lasts an average of 5-7 days.

(2) Jaundice stage: The fever subsides, the subjective symptoms are slightly alleviated, and jaundice appears on the sclera and skin, reaching a peak within a few days to 3 weeks. Dark yellow urine may cause transient lighter stools. Pain in the liver area, enlarged liver, soft texture, tenderness and percussion pain. This phase lasts 2-6 days.

(3) Recovery period: The patient's jaundice gradually decreases and disappears, the stool color returns to normal, the skin itching disappears, the appetite improves, the physical strength recovers, the gastrointestinal symptoms are alleviated, the jaundice disappears, and the liver function returns to normal. This period is generally 1-2 months.

2. Acute anicteric hepatitis

This type is more common and has milder symptoms, including general fatigue, loss of appetite, nausea, and abdominal distension. Physical signs include enlarged liver, soft texture, tenderness and percussion pain. This type of hepatitis has mild symptoms and is often overlooked. The course of the disease is about 2-3 months.

Sometimes the severity of symptoms or signs varies depending on the severity of the disease.

Acute severe hepatitis, also known as fulminant hepatitis. The clinical features are acute onset, with impaired consciousness, bleeding, jaundice and liver shrinkage within 10 days. The duration of illness does not exceed 3 weeks. The early clinical manifestations of fulminant hepatitis are similar to those of acute icteric hepatitis, but the disease progresses rapidly. Therefore, if the following symptoms appear, a severe diagnosis should be considered.

Obvious symptoms of systemic poisoning. As the jaundice progresses, the patient will become extremely weak, listless, drowsy or insomniac, have personality changes, mental abnormalities, impaired calculation and orientation, asterixis, and impaired consciousness.