Hepatitis is a general term that means inflammation of the liver. The liver can become inflamed as a result of infection, a disorder of the immune system, or exposure to alcohol, certain medications, toxins, or poisons.
- Hepatitis B is caused by infection with the hepatitis B virus (HBV). This infection has 2 phases: acute and chronic.
- Acute (new, short-term) hepatitis B occurs shortly after exposure to the virus. A small number of people develop a very severe, life-threatening form of acute hepatitis called fulminant hepatitis.
- Chronic (ongoing, long-term) hepatitis B is an infection with HBV that lasts longer than 6 months. Once the infection becomes chronic, it may never go away completely.
- About 90-95% of people who are infected are able to fight off the virus so their infection never becomes chronic. Only about 5-10 percent of adults infected with HBV go on to develop chronic infection.
- HBV infection is one of the most important causes of infectious hepatitis. People with chronic HBV infection are called chronic carriers. About two-thirds of these people do not themselves get sick or die of the virus, but they can transmit it to other people. The remaining one third develop chronic hepatitis B, a disease of the liver that can be very serious.
- The liver is an essential organ that the body needs to stay alive. Its most important functions are filtering many drugs and toxins out of the blood, storing energy for later use, helping with the absorption of certain nutrients from food, and producing substances that fight infections and control bleeding. The liver has an incredible ability to heal itself, but it can only heal itself if nothing is damaging it.
Causes The hepatitis B virus is known as a blood-borne virus because it is transmitted from one person to another via blood.
- Semen and saliva, which contain small amounts of blood, also carry the virus.
- The virus can be transmitted whenever any of these bodily fluids come in contact with the broken skin or a mucous membrane (in the mouth, genital organs, or rectum) of an uninfected person.
- People who are at increased risk of being infected with the hepatitis B virus include the following:
- Men or women who have multiple sex partners, especially if they don’t use a condom
- Men who have sex with men
- Men or women who have sex with a person infected with HBV
- People with other STDPeople who inject drugs with shared needles
- People who receive transfusions of blood or blood products
- People who undergo dialysis for kidney disease
- Institutionalized mentally handicapped people and their attendants and family members
- Health care workers who are stuck with needles or other sharp instruments contaminated with infected blood
- Infants born to infected mothers
- In some cases, the source of transmission is never known.
- The younger you are when you become infected with the hepatitis B virus, the more likely you are to develop chronic hepatitis B. The rates of progression to chronic hepatitis B are as follows:
- 90% of infants infected at birth
- 30% of children infected at age 1-5 years
- 6% of people infected after age 5 years
- 5-10% of infected adult
Symptoms Half of all people infected with the hepatitis B virus have no symptoms.
- Symptoms develop within 30-180 days of exposure to the virus. The symptoms are often compared to flu. Most people think they have flu and never think about having HBV infection.
- Appetite loss
- Feeling tired, Nausea and vomiting, Itching all over the body, Pain over the liver (on the right side of the abdomen, under the lower rib cage, Jaundice, Urine becomes dark in color (like cola or tea).
- Stools are pale in color (grayish or clay colored).
- Many types of acute viral hepatitis have similar symptoms. Fulminant hepatitis is an unusual illness. It is a severe form of acute hepatitis that can be life threatening if not treated right away. The symptoms develop very suddenly.
- Mental disturbances such as confusion, extreme sleepiness or hallucinations.
- Sudden collapse with fatigue, Jaundice, Swelling of the abdomen
- Prolonged nausea and vomiting can cause dehydration. If you have been vomiting repeatedly, you may notice these symptoms:
- Feeling tired or weak
- Feeling confused or having difficulty concentrating
- Not urinating
- Symptoms of liver failure may include the following:
- Fluid retention causing swelling of the belly and sometimes the legs
- Weight gain due to ascites
- Persistent jaundice
- Loss of appetite and weight.
- Vomiting with blood in the vomit
- Bleeding from the nose, mouth, or rectum or blood in the stool
- Hepatic encephalopathy (excessive sleepiness, mental confusion, and in advanced stages, development of coma)
Since many people with hepatitis B do not have symptoms, they do not know they have the disease.
- Hepatitis B is often discovered accidentally when you see your health care provider for another reason.
- Blood tests done for an annual check-up, insurance purposes, or before surgery may show abnormalities in the liver blood test results.
If your health care provider determines that you may be at risk for contracting hepatitis, you will have blood drawn.
- The laboratory will examine the blood to determine how well your liver is functioning, if this has not already been done.
- Your blood will be tested to determine whether you have been exposed to certain hepatitis viruses and, possibly, other viruses.
- If you have had a large amount of vomiting or have not been able to take in liquids, your blood electrolytes may also be checked to ensure that your blood chemistry is in balance.
- Other tests may be ordered to rule out other medical conditions.
- Liver biopsy – This involves removal of a tiny piece of the liver. It is usually done by inserting a long needle into the liver and withdrawing the tissue. The tissue is examined under a microscope to detect changes in the liver. A biopsy may be done to detect the extent of liver damage or to evaluate how well a treatment is working.
- Decoction of Bekh Karfas, Bekh Badyan each 7 gm, Bekh Izkhar, Qust each 1 gm, Afsanteen, Asaroon, Gafis each 2 gm, Hulba 2 gm, Maveez munaqa 7 in numb, Akleel-ul malik 5 gm, use this decoction twice a day before meal with Roghan Baadam 4 ml.
- Decoction of Maveez munaqa 6 in numb, Injeer khusk 2 in numb, Unnab 20 in numb, Bekh karfas 10 gm, Baadyan, Anisoon each 7 gm, Hulba 6 gm. Use this decoction with Roghan Baid Injeer 6 ml, Roghan Baadam 5 ml twice daily.
- Apply this paste locally: Banafsa 6 gm, Aklil-ul malik 6 gm, Gul Baboona 6 gm, Tukhm Kitan 3 gm, Tukhm Hulba 3 gm, Mastagi Romi 2 gm, boil in water and make paste in Roghan Mom and apply locally at hypochondrial region.
- Habbe Kabid Noshadari 2 hab after every meal.
- Sharbat Bazoori mutadil 20 ml twice.
- Habbe Musaffi khoon
- Asanasia sageer
- Qurs Gafis
- Arq Kasini 60 ml mix in Arq Mako 60 ml also beneficial.