What are the main symptoms of chronic hepatitis?

Everyone knows the importance of the liver. At the same time, we also know that the incidence of hepatitis in our country is extremely high. If chronic hepatitis occurs, the patient's liver health will be greatly damaged, and other organs may be affected over time. Therefore, it is important to understand and treat the symptoms of chronic hepatitis as soon as possible.

1. Clinical symptoms

Many people with chronic hepatitis have no symptoms at all.

The symptoms of mild chronic hepatitis are relatively mild, including fatigue, loss of appetite, aversion to oil, dull pain and discomfort in the liver area, which may be accompanied by abdominal distension, nausea, diarrhea, etc. The liver is normal in size or slightly enlarged, soft in texture with mild tenderness, and the spleen is usually not enlarged.

The symptoms of moderate and severe chronic hepatitis are more severe, most of which are accompanied by moderate jaundice, fatigue, poor appetite, nausea, vomiting, aversion to oil, abdominal distension, and dull pain in the liver area; jaundice, spider nevi, liver palms, male breast development, subcutaneous hemorrhage, enlarged liver with medium texture, tenderness and percussion pain, most of which have splenomegaly, and some patients have ascites. In severe cases, lower limb edema, bleeding tendency and hepatic encephalopathy may occur. It may be accompanied by extrahepatic manifestations such as fever, arthritis, pleurisy, skin lesions, glomerulonephritis, amenorrhea, etc. Systemic and extrahepatic manifestations are more common in autoimmune chronic hepatitis.

2. Physical signs

The liver is mildly to moderately enlarged, with a medium or full texture. In patients with cirrhosis, the liver is hard, nodular, and has splenomegaly. In the late stage, lower limb edema, bleeding tendency, and signs of portal hypertension may occur.

3. Extrahepatic manifestations

Common symptoms include renal changes (20%-30%) and papular acrodermatitis; other rare symptoms include hemolytic anemia, aplastic anemia, etc.