Hepatitis can be caused by:
• Immune cells in the body attacking the
liver and causing autoimmune hepatitis
• Infections from viruses (such as
hepatitis A, B, or C), bacteria, or
parasites
• Liver damage from alcohol, poisonous
mushrooms, or other poisons
• Medications, such as an overdose of
acetaminophen, which can be deadly
• Liver disease can also be caused by
inherited disorders such as cystic
fibrosis or hemochromatosis, a condition
that involves having too much iron in
your body (the excess iron deposits in
the liver).
Symptoms:
Hepatitis may start and get better
quickly (acute hepatitis), or cause
long-term disease (chronic hepatitis).
In some instances, it may lead to liver
damage, liver failure, or even liver
cancer.
How severe hepatitis is depends on many
factors, including the cause of the
liver damage and any illnesses you have.
Hepatitis A, for example, is usually
short-term and does not lead to chronic
liver problems.
The symptoms of hepatitis include
abdominal pain or distention, breast
development in males, dark urine and
pale or clay-colored stools, fatigue,
fever, usually low-grade, general
itching, jaundice (yellowing of the skin
or eyes), loss of appetite, nausea and
vomiting, & weight loss.
Many people with hepatitis B or C do not
have symptoms when they are first
infected. They can still develop liver
failure later. If you have any risk
factors for either type of hepatitis,
you should be tested regularly.
A physical examination may show:
• Enlarged and tender liver
• Fluid in the abdomen (ascites) that
can become infected
• Yellowing of the skin
Nutritional Management of Hepatitis:
Poor nutrition is rarely a cause of
liver disease, but good nutrition in the
form of a balanced diet, may help liver
cells damaged by hepatitis viruses to
regenerate, forming new liver cells.
Nutrition can be an essential part of
treatment. Many chronic liver diseases
are associated with malnutrition.
• Too much daily protein may cause
hepatic encephalopathy (mental
confusion). This occurs when the amount
of dietary protein is greater than the
liver's ability to use the protein. This
causes a build up of toxins that can
interfere with brain function. Protein
is restricted in patients with clinical
evidence of encephalopathy. However,
controversy exists regarding the type of
protein a diet should contain. Vegetable
and dairy protein may be tolerated well
than meat protein. Due to the body's
need for proteins, protein restriction
should only be undertaken with a
doctor's advice.
• Excess calories in the form of
carbohydrates can add to liver
dysfunction and can cause fat deposits
in the liver. No more than 30% of a
person's total calories should come from
fat because of the danger to the
cardiovascular system.
• Patients with fluid retention and
swelling of the abdomen (ascites), or
the legs (peripheral edema), may need
diets low in salt to avoid sodium
retention that contributes to fluid
retention.
• Excessive amounts of some vitamins may
be an additional source of stress to the
liver that must act as a filter for the
body. Mega-vitamin supplements,
particularly if they contain vitamins A
and D, may be harmful. Excess vitamin A
is very toxic to the liver.
• Avoiding beer, wine, cocktails,
champagne, and liquor in any other form
proves beneficial. If you continue to
drink, your liver will pay the price.
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