Hepatitis E
Liver is the largest solid meaty organ – weighs around 3 pounds, located on the upper right side of the belly.
The liver is a roughly triangular organ and has two large sections, called the right and the left lobes.
Liver performs over 500 essential functions such as;
- Produces most proteins needed by our bodies such bile, to digest fats.
- Helps fight infection by removing harmful pathogens.
- Helps blood circulation and filtration.
- Regulates blood clotting, glucose, cholesterol and hormones levels etc.
- Metabolism that is break down – nutrients from food to produce energy.
- Detoxification – Removes potentially toxic by-products of certain medications.
- Prevents shortage of nutrients by storing vitamins, amino acids and minerals etc.
The liver is a marvelously sophisticated chemical laboratory, capable of carrying out thousands of chemical transformations on which the body depends.
The liver produces important chemicals from scratch, modifies others to allow the body to use them better, and neutralizes an enormous range of toxins.
Alcohol is the most common chemical responsible for toxic damage to the liver, causing fatty liver, alcoholic hepatitis, and, potentially, cirrhosis of the liver.
Exposure to industrial chemicals may harm the liver. Many prescription medications may damage the liver as well, including cholesterol-lowering drugs in the statin family and high-dose niacin (also used to reduce cholesterol levels.) The over-the-counter drug acetaminophen (Tylenol) is highly toxic to the liver when taken to excess. Finally, numerous natural herbs and supplements contain chemicals that may cause or accelerate harm to the liver.
Chemicals aren’t the only source of harm to the liver. Viruses may infect it, causing viral hepatitis; hepatitis C, in particular, may become chronic and gradually destroy the liver. In addition, during pregnancy, the liver may become backed up with bile, a condition called cholestasis of pregnancy.
Hepatitis may indicate swelling, irritation and damage to the liver.
Hepatitis E or enterically transmitted non-A non-B hepatitis is an infection of the liver caused by Hepatitis ‘HEV’ virus.
The virus has at least 4 different types: genotypes 1, 2, 3 and 4. Genotypes 1 and 2 have been found only in humans. Genotypes 3 and 4 circulate in several animals including pigs, wild boars and deer.
The virus is shed in the stools of infected persons and enters the human body through the intestine. It is transmitted mainly through contaminated drinking water. Occasionally a serious disease known as fulminant hepatitis (acute liver failure) develops, which can be fatal.
Clinically it is difficult to differentiate from hepatitis ‘A’ as it has many similarities with ‘A’.
The diagnosis is usually made when Hepatitis ‘A’ and ‘B’ are ruled out and is most often seen in young to middle aged adults (15-40 years old). Pregnant women appear to be more susceptible to this disease.
COMMON SYMPTOMS
- Mild fever in initial phase.
- Reduced appetite (anorexia)
- Nausea and vomiting
- Itchy skin or rashes
- Joints pain or body ache
- Jaundice (yellow colour of the skin)
- Dark urine
- A slightly enlarged, tender liver (hepatomegaly).
- Malaise
- Abdominal pain
- Lose motions or Diarrhea
- Loss of weight
- Pain in right upper quadrant that increases with activity
- Light colored or pale stools
POSSIBE CAUSES OR RISK FACTORS
- Spread by faeco-oral route.
- Contamination of food and water
- Eating roadside food
- Inadequate sanitation
- Poor personal hygiene
- Traveling in endemic areas
Prevention and additional tips for a healthy liver
- Avoid contact with other people’s blood and body fluids.
- Keep your food safe. Wash your hands thoroughly before eating or preparing foods.
- Use bottled water to drink, and brush your teeth regularly.
- Protect your skin. When using insecticides, paints and other toxic chemicals, wear gloves etc.
- Maintain a healthy weight. Obesity can cause non-alcoholic fatty liver diseases.
- Drink alcohol in moderation or completely avoid it.
- For tattooing or body piercings, be picky about cleanliness and safety.
- Don’t share needles to inject drugs.
- Always limit to your spouse as sexual partner.
- Take drugs wisely, only when needed and only in recommended doses.
- Avoid eating roadside food
- Observe good hygiene like washing fruits, vegetables etc thoroughly before eating
- Do not eat uncovered food
- Avoid drinking water outside. Drink boiled water, which is boiled for 10 minutes.
- Avoid fatty food like meat and animal products, dairy products like milk, cheese, etc
- Avoid fried and oily foodstuff.
- Take bed rest till the acute illness in under control.
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