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Hepatitis is a liver disease in which inflammation of liver is caused by the hepatitis virus. Hepatitis virus can effect anyone and all ages.
Pathogenesis of Hepatitis;
Initially cell damage through out the liver is the dominant abnormality particularly in centri lobular areas, so the lobules are severely affected. Damaged hepatocyts have swollen granular appearance, while dead once becomes shrunken and losing their Nuclei they form eosinophilc councilman bodies suggest acute hepatitis.
After that the lobules will be infiltrated with mononuclear cell, and portal tracts are enlarged resulting in more severe damages and collapses of reticulim framework. Particularly between the central veins and portal tracts which become linked to one another this is called sub acute necrosis finally very severe damage results in destruction of whole lobules and resulting in hepatic failure.
Hepatitis A is caused by the Hepatitis A virus (HAV)
Hepatitis B is caused by the Hepatitis B virus (HBV)
Hepatitis C is caused by the Hepatitis C virus (HCV)
Hepatitis A is a liver disease in which inflammation of liver is caused by the hepatitis A virus. Hepatitis A can affect anyone and all ages. Commonest and highly infection mostly affecting children and young adults. In the world hepatitis A can occur in situations ranging from isolated cases of disease to widespread epidemics. Good personal hygiene and proper sanitation can help prevent hepatitis.
Signs & Symptoms;
Adults will have signs and symptoms more often than children will.
Jaundice
Nausea and Vomiting
Fatigue
Abdominal pain
Loss of appetite
Diarrhea
Fever
Long Term Effects;
There is no chronic (long-term) infection.
Once you have had hepatitis A you cannot get it again.
About 15% of people infected with HAV will have prolonged or relapsing symptoms over 6-9 month period.
Route of Spread;
HAV is found in the stool (feces) of persons with hepatitis A.
HAV is usually spread from person to person by putting something in the mouth (even though it may look clean) that has been contaminated with the stool of a person with hepatitis A.
Persons at Risk of Infection;
Household contacts of infected persons.
Sex contacts of infected persons.
Persons, especially children, living in risk areas with consistently increased rates of hepatitis A.
Persons traveling to countries where hepatitis A is common.
Men who have sex with men (Homosexuality).
Injecting and non-injecting drug users.
Prevention;
Hepatitis A vaccine the best protection.
Short-term protection against hepatitis A is available from immune globulin. It can be given before and within 2 weeks after coming in contact with HAV.
Always wash your hands with soap and water after using the bathroom, changing a diaper and before preparing and eating food.
Hepatitis B is a serious disease caused by a virus that attacks the liver. The virus, which is called hepatitis B virus (HBV), can cause life long infection, cirrhosis (scarring) of the liver, liver cancer, liver failure, and death.
Signs & Symptoms;
About 30% of persons have no signs and symptoms are less common in children than adults.
Jaundice
Fatigue
Abdominal pain
Loss of appetite
Nausea, Vomiting
Joint pain
Long Term Effects Without Vaccination;
Chronic infection occurs in:
90% of infants infected at birth.
30% of children infected at age 1-5 years.
10% of persons infected after age 5 years.
Death from chronic liver disease occurs in:
20-30% of chronically infected persons
Route of Spread;
Occurs when blood or body fluids from an infected person enter the body of a person who is not immune.
HBV is spread through having with sex an infected person without using a condom, sharing needles or works when shooting drugs, through needle sticks or sharps exposures on the job, or from an infected mother to her baby during birth.
Persons risk for HBV infection might also be at risk for infection with hepatitis C virus (HVC) or (HIV)
Risk Groups;
Persons with multiple sex partners or diagnosis of a sexually transmitted disease.
Men who have sex with men.
Sex contacts of infected persons.
Injection drug users.
Household contacts of chronically infected persons.
Infants born to infected mothers.
Infants/Children of immigrants from areas with high rates of HVB infection.
Health care and public safety workers
Hemodialysis patients.
Prevention;
Hepatitis B vaccine is the best protection.
If you are having sex, but not with one steady partner, use condoms correctly and every time you have sex.
If you are pregnant, you should get a blood test for hepatitis B Infants born to HBV infected mothers should be given hepatitis B vaccine within 12 hours after birth.
Do not shoot drugs if you shoot drugs stop and get into a treatment program, if you can’t stop, never share needles, syringes, water or works and get vaccinated against hepatitis A and B.
Do not share personal care items that might have blood on them (razors, toothbrushes).
Consider the risks if you are thinking about getting a tattoo or body piercing. You might get infected if the tools have someone else’s blood on them or if the artist or piercer dose not following good health practices.
If you infected hepatitis B do not donate blood, organs or tissue.
If you are a health care or public safety worker, get vaccinated against hepatitis B, and always follows routine barrier precautions and safely handle needles and others sharps.
Hepatitis C is a disease of the liver caused by the hepatitis C virus (HCV). You may be at risk for hepatitis C and should contact your medical care provider for a blood test if:
Were notified that you received blood from a donor who later tested positive for hepatitis C.
Have ever injected illegal drugs, even if you experimented a few times many years ago.
Received a blood transfusion or solid organ transplant before 1992.
Received a blood product for clotting problems produced before 1987.
Have ever been on long term kidney dialysis.
Have evidence of liver disease.
Signs & Symptoms;
70%of persons have no signs or symptoms.
Jaundice.
Fatigue.
Dark urine.
Abdominal pain.
Loss of appetite.
Nausea.
Long Term Effects;
Chronic infection 70-80% infected persons.
Chronic liver disease 70% of chronically infected persons.
Deaths from chronic liver disease 10%.
Leading indication for liver transplant.
Route of Spread;
Recommendations for testing based on risk for HCV infection:
Occurs when blood or body fluids from an infected person enter the body of a person who is not infected.
HCV is spread through sharing needles or works when shooting drugs through needle sticks or sharps exposures on the job, or from an infected mother to her baby during birth.
Persons at risk for HCV infection might also be at risk for infection with hepatitis B virus (HBV) or (HIV).
Recommendations for testing based on risk for HCV infection.
Prevention;
There is no vaccine to prevent hepatitis C.
Do not shoot drugs stop and get into a treatment program. If you can’t stop ever share needles, syringes, water, or works and get vaccinated against hepatitis A & B.
Do not share personal care items that might have blood on them (razors, toothbrushes)
If you are health care or public safety worker, always follow routine barrier precautions and safely handle needles and other sharps.
Consider the risk if you are thinking about getting a tattoo or body piercing. You might get infected if the tools have someone else’s blood on them or if the artist or piercer dose not follows good health practices.
HVC can be spread by sex but this is rare. If you are having sex with more than one steady sex partner use condoms correctly and every time to prevent the spread of sexually transmitted disease. You should also get vaccinated against hepatitis B.
If you are HCV positive do not donate blood, organs and tissue.
Homoeopathy has a vast range of medicine for all types of hepatitis. There is some medicine for hepatitis which is my under practice and patient has been cured.
Natrum Sulphuricum (Sulphate of Sodium);
A big liver remedy. Especially indicated for the so-called hydrogenoid constitution. Vomits sour billious vomiting, acid dyspepsia. Brown bitter coating on tongue. Thirst for something cold. Duodenal catarrh, hepatitis. Liver sore to touch with sharp stitching pains. Flatulency burring in abdomen and anus. Diarrhea yellow watery stools. Stools involuntary. Urine loaded with bile. Brick dust sediment. Burring in soles. Oedema of feet. Skin jaundiced.
Phosphorus (Phosphorus);
Another big liver remedy. Degeneration of mucous membranes disorganizes the blood causing fatty degeneration of blood vessels and every tissue and organ. Heamatogenous jaundice. Yellow atrophy of the liver and sub acute hepatitis. Face pale sickly complexion. Hunger soon after eating. Sore taste and sore eructation after every meal. Pain in stomach and pain full to touch inflammation of stomach. Liver congested acute hepatitis fatty degeneration jaundice pancreatic disease. Debilitating diarrhea. Great weakness after stool. Fever with chilly every evening. Skin jaundiced.
Chelidonium Majus (Celandine);
A prominent liver remedy which is covering many of the direct reflex symptoms of diseased conditions of that organ. The jaundiced skin and especially the constant pain under inferior angle of right scapula are certain indication. Vertigo associated with hepatic disturbance. Face yellow wilted skin. Pain in stomach eating relieves temporarily especially when accompanied with hepatic symptoms. Nausea and vomiting. Jaundice due to hepatic and gall bladder obstruction, liver enlarged. Alternation of diarrhea and constipation. Pain in small joints.
Magnesia Muriatica (Muriate Magnesia);
A liver remedy with pronounced characteristic constipation. Chronic liver infections with tenderness and pain extending to spine and epigastrium worse after food. Children who cannot digest milk. Evil effects of sea bathing. Appetite poor bad taste in mouth. Pressing pain in liver. Liver enlarged with bloating of abdomen. Pain back and hip, Arms and legs.
Chelone (Snakehead);
A remedy in liver affection with pain or soreness of the left lobe of liver. Debility, dyspepsia with hepatic torpor jaundice.
Chionanthus (Fringe tree);
Hepatic dearangements jaundice gallstone diabetes mellitus. Aching in umbilical region liver enlarged with jaundice and constipation. Colored stool also soft yellow and pasty. Tongue coated no appetite. Hepatic region tender.
Lycopodium (Club Moss);
Lycopodium is adapted more especially to ailments gradually developing functional power weakening with failures of the digestive powers where the function of the liver is seriously disturbed. Pre senility as cites in liver disease. Grayish yellow color of face with blue circles around eyes. Excessive hunger, great weakness of digestion. Liver sensitive, brown spots on abdomen, dropsy due to hepatic disease. Hepatic atrophic form of nutmeg liver. Diarrhea inactive intestinal canal. Fever with chill followed by sweat.
Leptandra (Culver’Root);
A liver remedy with jaundice and black tarry stools. Enfeebled portal circulation. Malarial conditions. Great distress in stomach and intestines with desire for stool. Aching in region of liver.
Nux Vomica (Poison nut);
Sore taste and nausea in the morning after eating. Region of stomach very sensitive to pressure. Flatulent distention with spasmodic colic. Liver engorged with stitches and soreness. Constipation with frequents ineffectual urging incomplete and unsatisfactory. Alternate constipation and diarrhea.
Bryonia (Wild Hops);
Acts on all serous membranes and the viscera they contain. Dryness of mouth. Nausea and faintness when rising up. Abnormal hunger loss of taste. Sensitive of epigastrium to touch. Liver region swollen sore tensive. Constipation, stool hard, dry, brown thick. Swelling of feet’s and joints. Fever pulse full hard chilly with external coldness. Gastrohepatic complaints.
Mercurius (Quick Silver);
Every organ and tissue of the body is more or less affected by this powerful drug. It transforms healthy cells into decrepid inflamed and necrotic wrecks, decomposes the blood. Vertigo when laying on back. Face pale dirty looking puffy. Boring pain in right region. Liver enlarged sore to touch jaundice. Bile secreted deficiently.
Arsenicum Album (Arsenic Trioxide);
A profoundly acting remedy on every organ and tissue. Anima and chlorosis degenerative changes. Face swollen pale yellow cold and covered with sweating. Great thirst drinks much but little at a time. Nausea and vomiting after eating. Liver and spleen enlarged and pain full. Abdomen swollen and painful. High temperature septic fevers. Great restlessness.
Calcarea Carbonica (Carbonate of Lime);
Face pale with deep-seated eyes surrounding by dark rings. Lose of appetite when overworked. Pain in epigastric region to touch. Liver region painful when stooping cutting in abdomen. Diarrhea of undigested food.
Taraxacum (Dendelion);
Bilious attacks with characteristically mapped tongue and jaundiced skin. Loss of appetite. Liver enlarged and indurated. Sharp stitches in left side. Limbs painful to touch
Dolichos Puriens (Cowhage);
A right-sided medicine with pronounced liver and skin symptoms. Constipation, swelling of liver, jaundice.
Cornus Circinata (Round Leaved Dogwood);
Chronic Malaria, Hepatitis, Jaundice. Weakness in morning. Pain in pit of stomach with distends abdomen. Vesicular eruption associated with chronic liver disease. Stool loose windy dark stool offensive diarrhea.
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