Hepatitis A

Acute viral hepatitis is a systemic infection affecting the liver predominantly caused by five well-characterized hepatotropic viruses, which are designated hepatitis A, B, C, D and E.

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Although these agents can be distinguished by their molecular and antigenic properties, all types of viral hepatitis produce clinically similar illnesses. These range from asymptomatic and inapparent to fulminant and fatal acute infections common to all types, on the one hand, and from subclinical persistent infections to rapidly progressive chronic liver disease with cirrhosis and even hepatocellular carcinoma, common to the bloodborne types (HBV, HCV, also HDV), on the other.

Acute viral hepatitis may be asymptomatic, marked only by an increase in aminotransferase levels, or symptomatic with or without jaundice or sub fulminant or fulminant depending on the causative agent.

Though the natural history of acute hepatitis can vary according to the etiological agent, it can be divided as follows depending on clinical features and laboratory findings:

Prodromal period

Bilirubinuria appears earlier than a rise in serum bilirubin.
Serological viral markers help in arriving at a diagnosis.
Urobilinogen and total bilirubin rise occur before clinical jaundice.
Liver enzymes AST and ALT are > 500 units
Leucopaenia may be observed with onset of fever.

Acute icteric stage

Bilirubin rises, plateaus and then gradually decreases.
Serum AST and ALT rise and fall rapidly and reach normal range in 2 to 5 weeks.
ESR is raised initially and falls during convalescence

Defervescent stage

Diuresis occurs at onset of convalescence.
Bilirubinuria disappears, serum bilirubin is still increased.
Urine urobilinogen increases.
bilirubin becomes normal after 3 to 6 weeks

Antibodies to HAV (anti-HAV) can be detected during acute illness when serum aminotransferase activity is elevated and fecal HAV shedding is still occurring.
This early antibody response is predominantly of the IgM class and persists for several (~3) months, rarely for 6–12 months. During convalescence, however, anti-HAV of the IgG class becomes the predominant antibody.
Therefore, the diagnosis of hepatitis A is made during acute illness by demonstrating anti HAV of the IgM class. After acute illness, anti-HAV of the IgG class remains detectable indefinitely, and patients with serum anti-HAV are immune to reinfection.
Neutralizing antibody activity parallels the appearance of anti-HAV, and the IgG anti-HAV present in immune globulin accounts for the protection it affords against HAV infection.
Liver injury is immune mediated by natural killer cells, virus-specific CD8+ cytotoxic T lymphocytes and nonspecific cells recruited at the site of inflammation

The main route of transmission is faeco-oral, occasionally, HAV is transmitted by blood products or through illicit use of injectable drugs

Classification of Hepatitis A

Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis D
Hepatitis E

Acute viral hepatitis occurs after an incubation period that varies according to the responsible agent Incubation period 2–6 weeks, related to the infecting dose.

Prodromal symptoms consist of i.e.

Malaise
Loss of appetite
Nausea,Vomiting
Fever also Headache
Dark urine
Pale stool
Fatigue, Malaise
Arthralgias
Photophobia
Pharyngitis, cold, cough
Anorexia

Age is the most important determinant of the severity of hepatitis A as also presence of chronic liver disease

Generally, incubation periods for hepatitis A range from 15–45 days (mean, 4 weeks), for hepatitis B and D from 30–180 days (mean, 8–12 weeks), for hepatitis C from 15–160 days (mean, 7 weeks), and for hepatitis E from 14–60 days (mean, 5–6 weeks).
Additionally, The prodromal symptoms of acute viral hepatitis are systemic and quite variable.
Constitutional symptoms of anorexia, nausea also vomiting, fatigue, malaise, arthralgias, myalgias, headache, photophobia, pharyngitis, cough, and coryza may precede the onset of jaundice by 1–2 weeks. The nausea, vomiting, and anorexia are frequently associated with alterations in olfaction and taste.
Besides this, A low-grade fever between 38° and 39°C (100°–102°F) is more often present in hepatitis A and E than in hepatitis B or C, except when hepatitis B is heralded by a serum sickness–like syndrome; rarely, a fever of 39.5°–40°C (103°–104°F) may accompany the constitutional symptoms.
All in all, Dark urine and clay-colored stools may be noticed by the patient from 1–5 days before the onset of clinical jaundice.

Raised serum bilirubin
Serum AST also ALT levels remain high
Alkaline phosphatase level is only mildly elevated, though if it remains persistently high, it suggests hepatitis-associated cholestasis
Hepatitis A specific IgM antibody can be detected at the onset of symptoms and at the first rise in serum ALT.
IgG anti HAV becomes positive at onset of illness and is detectable for many years.
Nucleic acid-based tests like PCR performed on stool.

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Homeopathic Medicines for Hepatitis A:

The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications also taken into account for selecting a remedy.

Medicines:

Arsenicum album

In general, Great exhaustion after the slightest exertion; septic infections and low vitality;
Headaches, Relieved especially by cold
Intense photophobia; hay-fever also coryza; face yellow.
Cannot bear the sight also smell of food; nausea, retching, vomiting.
Liver and spleen enlarged and painful; additionally abdomen swollen and painful; high temperature.
Worse – after, midnight, from cold, cold drinks or food, right side. On the other hand, Better – with heat, warm drinks, head elevated.

Bryonia

Liver region swollen, sore, tensive. In detail, Stitching pain, tenderness of abdominal walls.
Furthermore; Aching muscles, irritable, oppressive headache.
Dry lips, mouth, excessive thirst, bitter taste, stools large, dry hard, red brown urine, dry cough.
Weakness, apathy,
Coryza, dark coated tongue, abnormal hunger, loss of taste.
Vomiting of bile and water immediately after eating, constipation.
Worse – pressure, coughing, breathing, warmth, warm drinks, motion, morning, eating, exertion, touch, stooping, opening eyes, sitting up. whereas Better – lying on painful side, rest, cold things.

Calcarea carbonica

Headache from over-‘lifting, mental exertion, with nausea; eyes sensitive to light; coryza.
Abdomen sensitive to slightest pressure; additionally liver region painful when stooping; dark brown urine.
Tickling cough, troublesome at night; pain between shoulder blades.
Worse – exertion, ascending, cold, standing. whereas Better – dry weather, lying on painful side.

Cinchona officinalis

Basically, Yellowish sclera; photophobia; coryza, sneezing, watery discharge.
Pain in right upper abdomen; liver and spleen swollen also enlarged; jaundice; intermittent fever.
Worse – slightest touch, draughts, night, after eating, bending over. on the other hand Better – bending double, pressure, open air, warmth.

Chelidonium manjus

Heavy, lethargic; drowsiness very marked; right-sided headache down behind ears also shoulder blade; face yellow.
In detail, Nausea, vomiting; jaundice due to hepatic obstruction; liver enlarged; dark turbid urine; clay-colored stools, float in water.
Short exhausting cough; spasmodic cough; pain in right side of chest also shoulder.
Besides this, Fixed pain under inner and lower angle of right shoulder blade; yellow skin.
Worse – especially right side, motion, touch, change of weather, early morning. whereas Better – after dinner, pressure.

Hepar sulphuris calcareum

Stitching in region of liver when walking, coughing, either breathing, or touching it.
Must turn in bed constantly; irritable, dejected, sad;
Furthermore, Craving acids, wine, strong tasting food.
Aversion to fats; belching without taste or smell.
Burning in stomach; additionally heaviness and pressure in stomach after slight meal.
Abdomen distended, tense; soft fetid clay colored stool, difficult to expel; croupy cough, asthma.
Worse – dry cold winds, cool air, slight draught, touch, lying especially on painful side, evening and night. whereas Better – damp weather, wrapping head up, warmth, after eating, loosening clothing.

Mercuris

Catarrhal headaches; In detail Coryza with sneezing.
Liver enlarged and, hard, sore to touch; jaundice; whitish-grey stools; urine dark.
Cannot lie specifically on right side; generally either gastric or bilious fever.
Worse – night, wet weather, lying on right side, perspiring, warm room, also warm bed.

Digitalis

Dull lethargy with slow pulse; excessive nausea not relieved by vomiting; enlarged sore painful liver.
Moreover,Cough with raw sore feeling in chest.
Continuous sleepiness; jaundice; additionally sudden flushes of heat followed by great nervous weakness.
Worse – sitting erect, after meals and music but Better – empty stomach, open air.

Lachesis

Sun headaches; coryza, preceded by headache; face jaundiced.
Liver region sensitive, cannot bear anything around waist; hot flushes also hot perspiration; abdomen sensitive, painful.
Stools clay colored, light yellow urine, eyes yellow, cough also vomiting together.
Worse – after sleep, left side, warm bath, pressure, hot drinks, especially closing eyes. On the other hand Better – appearance of discharges, warm applications.

Natrum sulphuricum

Specifically A liver remedy.
Duodenal catarrh, hepatitis, jaundice and vomiting of bile; additionally liver sore to touch, with sharp stitching pains; cannot bear tight clothing around waist.
Coryza, yellow conjunctiva, photophobia, cough, yellow diarrhoea.
Worse – lying especially on left side, music, damp weather. whereas Better-dry weather, pressure, changing posit

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Stimulating the liver can stress the liver and stimulants such as colas, chocolate, coffee, and tea are restricted.
Fruit juices also, because they contain high levels of concentrated sugar which stress the digestive process and the pancreas, while feeding the virus.
Stimulating the liver can stress the liver and stimulants such as colas, chocolate, coffee, and tea are restricted.
Fruit juices also, because they contain high levels of concentrated sugar which stress the digestive process and the pancreas, while feeding the virus.

What is Hepatitis A?

Acute viral hepatitis is a systemic infection affecting the liver predominantly caused by five well-characterized hepatotropic viruses, which are designated hepatitis A, B, C, D and E.

Homeopathic Medicines used by Homeopathic Doctors in treatment of Hepatitis A?

Arsenicum album
Bryonia
Calcarea carbonica
Cinchona officinalis
Chelidonium manjus
Hepar sulphuris
Mercuris
Digitalis
Lachesis
Natrum sulphuricum

What causes Hepatitis A?

virus [HAV]

What are the symptoms of Hepatitis A?

Malaise
Loss of appetite
Nausea,Vomiting
Fever& Headache
Dark urine
Pale stool
Fatigue, Malaise
Arthralgias
Photophobia
Pharyngitis, cold, cough
Anorexia

How to prevent Hepatitis A?

[1] Medicine Golwala

[2]Harrison-s_Principles_of_Internal_Medicine-_19th_Edition-_2_Volume_Set

[3] Encyclopedia of Diets – A Guide to Health and Nutrition (PDF Drive )

[4]Homoeopathic Body-System Prescribing – A Practical Workbook of Sector Remedies

Holistic Homeopathic Treatment for Hepatitis A