Hepatitis A

What is hepatitis A?

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Hepatitis A is a liver disease. Hepatitis means inflammation of the liver. Inflammation is the painful, red swelling that results when tissues of the body become injured or infected. Inflammation can cause organs to not work properly. Hepatitis A is diagnosed and treated by the GI Division of Premier Medical Group.

What is the liver?

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Drawing of the digestive tract with the esophagus, liver, stomach, large intestine, and small intestine labeled. The liver is shaded.

The liver is an organ that does many important things. Hepatitis A is a liver disease.

The liver:

  • removes harmful chemicals from your blood
  • fights infection
  • helps digest food
  • stores nutrients and vitamins
  • stores energy

You cannot live without a liver.

What causes hepatitis A?

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The hepatitis A virus causes hepatitis A. Viruses are germs that can cause sickness. For example, the flu is caused by a virus. People can pass viruses to each other.

Who gets hepatitis A?

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Anyone can get hepatitis A, but some people are at higher risk, including

  • people who travel to developing countries
  • people who live with someone who has hepatitis A
  • people who use illegal drugs, including noninjection drugs
  • men who have sex with men

How could I get hepatitis A?

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You could get hepatitis A through contact with an infected person’s stool.

Hepatitis A Food Preparation
Wash your hands before fixing food or eating.

You could get hepatitis A from

  • eating food made by an infected person who didn’t wash his or her hands after using the bathroom
  • drinking untreated water or eating food washed in untreated water
  • placing a finger or object in your mouth that came into contact with an infected person’s stool
  • having close personal contact with an infected person, such as through sex or caring for someone who is ill

You cannot get hepatitis A from

  • someone sneezing or coughing on you
  • sitting next to a person who has hepatitis A
  • hugging an infected person

What are the symptoms of hepatitis A?

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Children younger than age 6 often have no symptoms. Older children and adults often get mild, flulike symptoms, including

  • tiredness
  • upset stomach
  • fever
  • loss of appetite
  • stomach pain
  • diarrhea
  • dark yellow urine
  • light-colored stools
  • yellowish eyes and skin, called jaundice

How is hepatitis A diagnosed?

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Blood tests will show if you have hepatitis A or another type of hepatitis.

How is hepatitis A treated?

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Hepatitis A - Boy In Bed
Bed rest and medicine will help you get better.

Hepatitis A usually gets better in a few weeks without treatment. Get lots of rest and avoid drinking alcohol, which bothers the liver. Your doctor may suggest medicines to help relieve your symptoms, or medicines you may want to avoid. If symptoms persist, especially if you are an older person, then you should see a doctor again.

When you recover, your body will have learned to fight off a future hepatitis A infection. However, you can still get other kinds of hepatitis.

How can I avoid getting hepatitis A?

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You can avoid getting hepatitis A by getting the hepatitis A vaccine.

Vaccines are medicines that keep you from getting sick. Vaccines teach the body to attack specific germs. The hepatitis A vaccine teaches your body to attack the hepatitis A virus.

The hepatitis A vaccine is given through two shots. The second shot is given 6 to 12 months after the first shot. Both shots are needed to be fully protected from the virus.

All children should be vaccinated and must be at least 12 months old to get the first shot. Discuss the hepatitis A vaccine with your child’s doctor.

Adults at higher risk of getting hepatitis A and people with chronic liver disease should also be vaccinated.

If you are traveling to countries where hepatitis A is common, including Mexico, try to get both shots before you go. If you don’t have time to get both shots before you travel, get the first shot as soon as possible. Most people gain some protection within 2 weeks after the first shot.

You can also protect yourself and others from hepatitis A if you

  • always wash your hands with warm, soapy water after using the toilet or changing diapers and before fixing food or eating
  • use bottled water for drinking, making ice cubes, and washing fruits and vegetables when you are in a developing country

What should I do if I think I have been exposed to the hepatitis A virus?

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See your doctor right away if you think you have been exposed to the hepatitis A virus. A medicine called hepatitis A immune globulin may protect you from getting sick if taken shortly after exposure to the hepatitis A virus.

Points to Remember

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  • Hepatitis A is a liver disease caused by the hepatitis A virus.
  • Anyone can get hepatitis A, but some people are at higher risk.
  • You could get hepatitis A through contact with an infected person’s stool.
  • Hepatitis A may cause mild, flulike symptoms.
  • Hepatitis A usually gets better without treatment.
  • You can protect yourself from getting hepatitis A by getting the hepatitis A vaccine.
  • See your doctor right away if you think you’ve been exposed to the hepatitis A virus.

Hope through Research

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The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) supports basic and clinical research into many digestive disorders, including hepatitis A.

Participants in clinical trials can play a more active role in their own health care, gain access to new research treatments before they are widely available, and help others by contributing to medical research. For information about current studies, visit www.ClinicalTrials.gov.

Pronunciation Guide

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  • hepatitis (HEP-uh-TY-tiss)
  • inflammation (IN-fluh-MAY-shuhn)
  • jaundice (JAWN-diss)
  • vaccine (vak-SEEN)
  • virus (VY-ruhss)

For More Information

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American Liver Foundation

75 Maiden Lane, Suite 603
New York, NY 10038–4810
Phone: 1–800–GO–LIVER (1–800–465–4837) or 212–668–1000
Fax: 212–483–8179
Email: info@liverfoundation.org
Internet: www.liverfoundation.org

Hepatitis Foundation International

504 Blick Drive
Silver Spring, MD 20904–2901
Phone: 1–800–891–0707 or 301–622–4200
Fax: 301–622–4702
Email: hfi@comcast.net
Internet: www.hepfi.org

Other types of hepatitis exist. The National Digestive Diseases Information Clearinghouse (NDDIC) also has booklets about hepatitis B and hepatitis C:

You can get a free copy of each booklet by calling 1–800–891–5389, by going online to www.catalog.niddk.nih.gov, or by writing to

NDDIC
2 Information Way
Bethesda, MD 20892–3570

Hepatitis information for health professionals is also available.

Acknowledgments

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Publications produced by the Clearinghouse are carefully reviewed by both NIDDK scientists and outside experts. The individuals listed here provided editorial guidance or facilitated field-testing for the original version of this publication. The NDDIC would like to thank these individuals for their contribution.

Bruce Bacon, M.D.
American Liver Foundation
New York, NY

Theo Heller, M.D.
NIDDK, National Institutes of Health
Bethesda, MD

Luby Garza-Abijaoude, M.S., R.D., L.D.
Texas Department of Health
Austin, TX

Thelma Thiel, R.N.
Hepatitis Foundation International
Cedar Grove, NJ