Since the disease may be misdiagnosed as influenza, or because some patients do not have any symptoms, resulting in many cases of hepatitis undiagnosed, the common symptoms of hepatitis are:
1, loss of appetite; 2, malaise; 3, low-grade fever; 4, muscular or joint pain; 5, nausea, vomiting; 6, abdominal pain.
Signs:
1 Mild enlargement of the liver, which may be palpable as soft or moderately hard in texture, or with pressure or percussion pain. In some cases, there may be no physical signs.
2 In some cases, the face of liver disease may appear, manifesting as dark, yellowish-brown, roughness, dark purple lips, etc.; it may also cause facial capillary dilatation, spider nevus and liver palm, and some patients may have splenomegaly.
3 Yellowing of the sclera or skin, which appears later than gastrointestinal symptoms.
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Signs and Symptoms of Hepatitis B
Many people tend to count anything uncomfortable as Hepatitis B because they don't know what the symptoms are. Some people have a lot of complaints, but the doctor's examination is normal; some people are too careless, until the emergence of ascites, gastrointestinal bleeding to see a doctor, delaying the diagnosis and treatment time. Knowing the common signs and symptoms of hepatitis B, you can understand the severity of your condition and changes. It is also possible to alleviate some of the unnecessary psychological burden.
In medicine, the patient will feel the abnormality called symptoms, such as nausea, pain in the liver area, etc.; will be visible to the doctor, feel the signs, such as liver enlargement, ascites, etc.. Symptoms and signs are collectively called clinical manifestations. Like many diseases, the clinical manifestations of hepatitis B vary greatly. According to the different clinical manifestations, hepatitis B virus infection is often divided into
the following types.
1 Hepatitis B virus carriers: if there are no signs and symptoms. Liver function is normal, only the surface antigen is positive, regardless of whether it is "big triple positive" or "small triple positive". Regardless of Hl{v DNA positive or negative, are called hepatitis B virus carriers. It accounts for the majority of hepatitis B infections. It is worth noting that some people have no symptoms and even normal liver function, but there is chronic inflammation in the liver, which can eventually develop into cirrhosis if left untreated, and these people are not really carriers. Therefore, if there is no evidence of liver histology, long-term, dynamic observation is required to make an accurate diagnosis.
2 Acute hepatitis B: the course of the disease within six months is called acute hepatitis B. It usually starts sharply, with mild and severe symptoms, and most people's surface antigen mostly disappears within half a year, while a few can become chronic hepatitis B.
3. Chronic hepatitis B: the disease duration of more than half a year is called chronic hepatitis B, there can be symptoms of different severity, prolonged, recurrent episodes. If there is no history of hepatitis B and no recent laboratory results, it is sometimes difficult to determine whether acute or chronic hepatitis B is present for the first time. I4 Severe hepatitis B: the disease develops rapidly, the symptoms are very severe, if not actively rescued, can be life-threatening.
Except for hepatitis B virus carriers, all other types of hepatitis B have signs and symptoms of varying severity, which, in summary, include the following.
1 systemic symptoms: hepatitis B patients often feel physically weak, easy to fatigue, can not beat the spirit, the reason may be liver function is impaired, eating less, food digestion, taunting obstacles, nutrient intake is insufficient. On the other hand, due to inflammation, consumption increases, and the ingested substances cannot be fully metabolized to meet the needs of the body due to impaired liver function. The third aspect may be the mental and psychological stress caused by hepatitis B, affecting rest and sleep, insomnia, excessive dreaming and so on may be related to this.
2Digestive symptoms: the liver is an important digestive organ, and the bile secreted by the liver is necessary for the digestion of food. In hepatitis, bile secretion decreases, affecting the digestion and absorption of food. Inflammation of the liver may also cause blood flow obstruction in the hepatic sinusoids, resulting in congestion and edema of the gastrointestinal tract, affecting the digestion and absorption of food. As a result, hepatitis B is often characterized by loss of appetite, nausea, anorexia, epigastric discomfort and bloating.
3 Jaundice: the liver is the center of bilirubin metabolism, when the condition is severe, the concentration of bilirubin in the blood increases due to the obstacles of bilirubin uptake, binding, secretion and excretion. When the concentration of bilirubin in the blood increases, bilirubin is excreted from the urine, making the urine darker in color. It is the earliest manifestation of jaundice. However, hot sweating, insufficient drinking water, and some medicines can also cause changes in the color of the urine, so attention should be paid to the difference. When the concentration of bilirubin in the blood continues to increase. It can cause jaundice of eyes and skin. Due to the discharging obstacle of bile acid, the concentration of bile acid in the blood increases, and too much bile acid is deposited in the skin. Stimulation of peripheral nerves, causing skin itching.
4. Pain in the liver area: the lack of pain nerves inside the liver, hepatitis B usually has no severe pain. But the surface of the liver has a very thin membrane, called the hepatic peritoneum, the hepatic peritoneum on the distribution of nociceptive nerves, when the liver inflammation and swelling, the hepatic peritoneum is tense, the nociceptive nerve is stimulated, and thus part of the patient can have the right epigastrium, the right quadrilateral ribs, discomfort, hidden pain. If the black pain is severe, we should also pay attention to the possibility of biliary tract disease, hepatocellular carcinoma, gastrointestinal disease, in order to avoid misdiagnosis.
5. Liver and spleen enlargement: due to inflammation, congestion, edema, cholestasis, hepatitis B often have enlarged liver. If the chronic inflammatory period does not heal, repeated attacks. Fibrous connective tissue proliferation in the liver, the liver hardens. In the late stage, due to the destruction of a large number of hepatocytes, fibrous tissue contraction, the liver can shrink. Acute hepatitis or chronic hepatitis in the early stage, the spleen is not obviously enlarged, and later can be due to the proliferation of the reticuloendothelial system of the spleen, as well as portal hypertension. Splenic stasis, causing splenomegaly. Persistent progressive splenomegaly suggests cirrhosis.
6 extrahepatic manifestations: many patients with chronic hepatitis, especially cirrhosis, have a dark and dull complexion, called liver disease face, which may be due to endocrine disorders, skin pigmentation. Or due to persistent or repeated jaundice, biliverdin in the skin due to sedimentation. Significant congestion of the palms of the hands at the level of the major and minor fissures is called the palms of the liver. A cluster of radially expanding capillaries on the skin is called spider nevus, with a diameter of several millimeters to several centimeters, and fading when pressed, which is commonly found on the face, neck, forehead and back of the hands. Spider nevi may occasionally be distributed throughout the body. Men may have erectile dysfunction, symmetrical or asymmetrical breast hyperplasia, swelling and pain, and may even be misdiagnosed as breast cancer and undergo mastectomy; women may have menstrual disorders, amenorrhea, and loss of libido. These may be related to decreased liver function and reduced estrogen inactivation. The body estrogen increase related.
The severity of symptoms in patients with hepatitis B has a certain relationship with the severity of the disease, but it is not completely parallel, this is due to the fact that the sensitivity of each person's senses varies greatly. On the other hand, the symptoms are also affected by mental factors in addition to physical factors. If you are not sure, it is better to see an experienced doctor to avoid delays in treatment.