Understanding Hepatitis Treatment Options: A Patient Guide

Current Approaches to Managing Viral Hepatitis

Gastroenterology

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Last updated: Mar 24, 2025

Overview

Hepatitis is inflammation of the liver that can be caused by various viruses (A, B, C, D, and E). Treatment options vary depending on the type and severity of infection.

Types and Treatment Approaches

Hepatitis A

  • Usually self-limiting; no specific treatment required
  • Supportive care: rest, hydration, proper nutrition
  • Prevention through vaccination

Hepatitis B

Acute Cases

  • Supportive care and monitoring
  • Rest and adequate hydration

Chronic Cases

  • Antiviral medications:
    • Entecavir
    • Tenofovir
    • Lamivudine
  • Regular liver function monitoring

Hepatitis C

  • Direct-acting antivirals (DAAs)
    • Sofosbuvir/velpatasvir
    • Glecaprevir/pibrentasvir
  • 8-12 week treatment courses
  • 95% cure rates

Lifestyle Modifications

  • Avoid alcohol
  • Maintain healthy diet
  • Regular exercise as tolerated
  • Adequate rest

Monitoring and Follow-up

  • Regular blood tests
  • Liver function monitoring
  • Viral load testing
  • Ultrasound screening for liver cancer in chronic cases

Prevention

  • Vaccination (for types A and B)
  • Safe sex practices
  • Avoid sharing personal items
  • Practice good hygiene

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