ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

Differences Between Hepatitis A, B, C and D

Updated on September 5, 2019
Pamela99 profile image

After 22 years as an RN, I now write about medical issues and new medical advances. Diet, exercise, treatment, and lifestyle are important.

Jaundice

Source

Hepatitis Statistics

The World Health Organization (WHO) estimated 399,000 people had hepatitis A in 2016. Mortality was at 0.5% of deaths. In 2016, there were 27 million people living with hepatitis B. The WHO also estimated in 2016, that approximately 399,000 people died with hepatitis C, typically the cause of death was cirrhosis and liver cancer.

Hepatitis Facts

Hepatitis A is not as serious as hepatitis B and C. There is a vaccine for hepatitis A and B that will help prevent the disease. Each of the hepatitis diseases are viral in nature.

  • Hepatitis A is typically transmitted via the fecal-oral route or through the consumption of contaminated water or food.
  • Hepatitis B is transmitted through blood, semen, or other body fluids.
  • Hepatitis C is transmitted through unprotected sex and sharing of needles with someone who has this illness. Choose a clean tattoo shop that uses sterile needles and be cautious with body piercing.
  • Hepatitis D virus occurs among people who are already infected with hepatitis B

There are 7 distinctly different genotypes of hepatitis B and over 67 subtypes have been identified. In the U.S. the more common genotype type is 1.

Hepatitis A and B - Nucleus Health

Hepatitis A Facts

The signs and symptoms of hepatitis A do not appear until a few weeks after you get the virus, and some people do not become ill. Hepatitis A does not result in a chronic disease as it is self-limiting.

The symptoms include a poor appetite, fatigue, nausea, stomach pain and jaundice. This illness has symtoms in a 2 month timeframe. Children under the age of 6 do not have symptoms. The body produces antibodies in response to hepatitis A, so you are then protected for life. There is no treatment necessary unless you need to treat the specific symptoms. The most important way to prevent this disease is to get the vaccine.

HIV Shows Liver

Source

Hepatitis B Facts

Hepatitis B ranges from a mild case to a severe one. The symptoms typically appear from 1 to 4 months after you have become infected, although it is possible to have symptoms as early as 2 weeks. Young children may not have any symptoms.

Symptoms include:

  • Dark urine
  • Abdominal pain
  • Fever
  • Nausea and vomiting
  • Poor appetite
  • Fatigue and weakness
  • Jaundice - skin and whites of the eyes become yellow
  • Clay-colored stools
  • Pain in the joints, muscles
  • Right upper quadrant pain

Hepatitis B may be acute or chronic if it lasts over 6 months and the incubation period is 30-180 days. Acute hepatitis B is a short-term disease. Once the symptoms begin the liver becomes inflamed and the liver enzymes will increase. There is no specific treatment, but the disease usually resolves within 6 months. This illness can cause liver failure or cirrhosis or cancer of the liver.

Chronic hepatitis B is a long-term disease that lasts over 6 months, and most people do not have symptoms. This is serious, however, as cirrhosis of the liver, liver cancer or even death may occur. A chronically infected person who does not look ill may still spread the illness to others.

The hepatitis B vaccine is 4 injections given over 1 to 6 months. It is recommended for newborns, children or adolescents who have not been vaccinated, healthcare and emergency workers and those with multiple sex partners. Others who need the vaccine include those with chronic liver or kidney disease and if you are traveling to an area of the world with a high hepatitis B infection rate.

The treatment for this illness includes antiviral medications, which includes:

  • Entecavir (Baraclude)
  • Tenofovir (Viread)
  • Lamivudine (Epivir(
  • Adefovir (Hepsera)
  • Telbivudine (Tyzeka)

Additionally, there are immune modulator drugs that boost the immune system to fight the virus

Liver Disease Stages

Source

Hepatitis C Facts

About 50% of the people infected with Hepatitis C do not know they are infected. However, this viral infection that is spread through contaminated blood causes liver inflammation. It is curable with oral medications that are taken daily for 2 to 6 months. There is no vaccine for this illness.

The largest at risk group for this disease are those born between 1945 and 1965, therefore, a blood screening is recommended as this group is 5 times more likely to become infected with hepatitis C. Unfortunately, this illness can be a “silent” infection for many years until the liver has enough damage to make the symptoms appear.

The symptoms are only slightly different from hepatitis B, and they include:

  • Bleeding easily
  • Bruising easily
  • Fatigue
  • Jaundice - skin and whites of the eyes become yellow
  • Fatigue
  • Dark-colored urine
  • Itchy skin)
  • Leg swelling
  • Weight loss
  • Confusion, slurred speech and drowsiness (hepatic encephalopathy)
  • Spider-like blood vessels on the skin (spider angiomas)

The risk factors to be aware of include:

A health care worker who is exposed to infected blood

  • If you have HIV
  • Injecting or inhaling illicit drugs
  • Receiving a blood transfusion or organ transplant before 1992
  • Receiving a tattoo or piercing in an unclean establishment
  • Hemodialysis treatment over a long period of time
  • Were ever in prison
  • Were born to a woman with hepatitis C

Hepatitis C that continues over numerous years will cause liver scarring (cirrhosis), liver cancer and liver failure.

Hepatitis C is Curable - John Hopkins

Hepatitis D Particulars

Hepatitis (delta hepatitis, HDV) was first discovered in 1977, and is unrelated to the hepatitis A, B and C virus. The clinical features of this virus range from acute (self-limiting) to full liver failure. This hepatitis only occurs in those who already have hepatitis B. Intravenous drug abusers and those who have received multiple blood transfusions are at the highest risk. Few treatments are available for hepatitis D.

In Summary

The hepatitis viruses cause serious illnesses that takes a great deal of time to recover. Some liver damage is often the result. It is wise to get the vaccines that are available, particularly is you are at risk with your job or lifestyle.

Hepatitis Virus

Did you learn some new things about the hepatitis virus?

See results

This content is accurate and true to the best of the author’s knowledge and does not substitute for diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed health professional. Drugs, supplements, and natural remedies may have dangerous side effects. If pregnant or nursing, consult with a qualified provider on an individual basis. Seek immediate help if you are experiencing a medical emergency.

© 2019 Pamela Oglesby

Comments

Submit a Comment
  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    3 weeks ago from Sunny Florida

    Hi Alyssa, I got the vaccine for free also when I was working at a hospital, then I got stuck with a needle and they did lab work that showed I was immune. I think D is rare. Thanks for commenting.

  • Alyssa Nichol profile image

    Alyssa 

    3 weeks ago from Ohio

    Such an informative article! When I worked in healthcare, I was fortunate to get the vaccine for free. When my son was born, we made sure to also get him vaccinated. In the past year, cases of Hep A were found in restaurants in central Ohio. Scary stuff! I had no idea about Hep D, but I have heard about the treatment for Hep C in magazine ads and on TV.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    3 weeks ago from Sunny Florida

    Hi Cynthia, Getting hepatitis while donating blood is awful. I sure hope they come up with ways to totally prevent these diseases. Thank you so much for your nice comments.

  • techygran profile image

    Cynthia 

    3 weeks ago from Vancouver Island, Canada

    Hi Pamela

    Another interesting and clearly organized hub about a scary disease. I have a friend who had Hep C as a result of a blood donation. I believe she is better now, but she does have a fatty liver. It is just short amazing that more of us don't have some kind of hepatitis. Thanks for the post and for the hopeful information about a cure!

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    5 weeks ago from Sunny Florida

    Hi Peggy, I think it is a good idea for anyone that falls in that timeframe to get tested. Thank you so much for your comments.

  • Peggy W profile image

    Peggy Woods 

    5 weeks ago from Houston, Texas

    Your articles are always so informative. They have lately been publicizing the need to be checked for hepatitis for baby boomer-aged people. Since it is a disease that can lie dormant without symptoms in some cases, it is a good idea.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    5 weeks ago from Sunny Florida

    Hi Ruby, I am glad the article was interesting for you. I appreciate your very nice comments.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    5 weeks ago from Sunny Florida

    Hi Linda, Thank you so much for your very nice comments. Hepatitis is a disease is a disease it is good to know about.

  • AliciaC profile image

    Linda Crampton 

    5 weeks ago from British Columbia, Canada

    This is a very educational and useful article, Pamela. Thank you for sharing all of the information.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    5 weeks ago from Sunny Florida

    Hi Chitragada, At least hepatits D is uncommon, and you are right about early treatment. I appreciate your generous comments.

  • ChitrangadaSharan profile image

    Chitrangada Sharan 

    5 weeks ago from New Delhi, India

    Excellent and informative article about Hepatitis and it’s different variations. I wasn’t aware about the C and D. Thanks for spreading the awareness. The sooner we get the diagnosis, the easier it becomes to treat the diseases.

    Thanks for this well written and researched article.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    5 weeks ago from Sunny Florida

    Hi Ms Dora, I don't know anyone with hepatitis either, although I took care of a couple of patients when I was a nurse. It is scary to think you could walk around with no symptoms. Thank you for your comments.

  • MsDora profile image

    Dora Weithers 

    5 weeks ago from The Caribbean

    Thanks for this helpful information. Don't know anyone with any form of hepatitis, but it's scary to think that it's possible to have the disease and not show the symptoms.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    5 weeks ago from Sunny Florida

    Hi Shauna, What an awful experience! The only good new is now you and your son have antiboidies and will never contract the disease again. Thank you for sharing that experience.

    I didn't realize that the disease was that painful, and I think most of us would like the weight loss. Of course, 11 pounds in 3 days is too fast. I appreciate your comments.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    5 weeks ago from Sunny Florida

    Hi Doris, You experienced one of the problems, as so many people have the disease and don't know it because they are never tested. Thank you for sharing your experience, and I do appreciate all of your comments.

  • bravewarrior profile image

    Shauna L Bowling 

    5 weeks ago from Central Florida

    Pamela, this is very informative. I didn't know there's a Hep D.

    Back in 1996, my son and I both came down with Hepatitis A. He was only 4, showed no symptoms, with the exception of jaundice, and didn't act as if he were sick. I, on the other hand, oscillated from feeling okay to feeling as if I were dying; the stomach pains are almost unbearable.

    I didn't know I had hepatitis at first. My boss told me to see a doctor immediately because the whites of my eyes were yellow. He suspected a gall bladder problem. I'd also lost 11 pounds in three days (which I was elated by, but that much weight loss in such a short time should have triggered a red flag for me). Turns out it wasn't gall bladder. It was Hep A. Once you have it, there's nothing you can do but stay away from proteins (because they affect the liver) and drink plenty of fluids. I think it was a good week before I started feeling human. Thankfully, Hep A does go away on it's own. But, I tell you what - going thru it was pure hell.

  • always exploring profile image

    Ruby Jean Richert 

    5 weeks ago from Southern Illinois

    This was very interesting. I learned some new facts concerning Hepatitis. Your hubs are helpful and written well. The research is excellent.

  • MizBejabbers profile image

    Doris James MizBejabbers 

    5 weeks ago from Beautiful South

    Very good information. I was confused as to what was casually contagious and what was not. I worked with a man who, after I left the job, was diagnosed with one of the hepatitis varieties and informed me because we had sat at the same work table. Sometime later I developed chronic fatigue, so I asked my doctor to test me for hepatitis. He did and said that I was negative. But he lectured me and said that because of my age I should have been tested for hepatitis C years ago. Just saying if you are in that age group (Pamela mentioned it), go get tested.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    5 weeks ago from Sunny Florida

    Hi Linda, I think these different hepatitis viruses are easily confused. I appreciate your kind comments.

  • Carb Diva profile image

    Linda Lum 

    5 weeks ago from Washington State, USA

    Pamela, I've always been confused about Hep A, B, C--you've done a great job of explaining the diseases.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    5 weeks ago from Sunny Florida

    Hi John, I agree. From all my research it sounds like you can walk around for years with with some type of hepatitis and not know it. That is truly scary. Thanks so much for your comments.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    5 weeks ago from Sunny Florida

    Hi Billy, I agree that learning something new is so important as we age. I learn when I research these articles. I am appreciative of the fact that you give me positive reviews. Thank you.

  • Jodah profile image

    John Hansen 

    5 weeks ago from Queensland Australia

    This is an excellent article, Pamela, and a must read because so many people are infected with one or more of these. The scary part is that you can sometimes be infected without even knowing it. Thank you so much for sharing.

  • billybuc profile image

    Bill Holland 

    5 weeks ago from Olympia, WA

    Always informative. I always learn something new from you, Pamela, and I thank you for that. The day I stop learning will be a sad day for sure.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    5 weeks ago from Sunny Florida

    Hi Devika, I agree. The symptoms could easily be mistaken for the flu or other illnesses when it begins. Thank you for your very kind comments.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    5 weeks ago from Sunny Florida

    Hi Lorna, Your generous comments are much appreciated.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    5 weeks ago from Sunny Florida

    Hi Lora, As an RN I get the vaccines, but I think it is a good idea for anyone to get the vaccines. I wish there was one for hepatitis C.

    I am glad you learned some new facts about hepatitis, and your kind comments are much appreciated.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    5 weeks ago from Sunny Florida

    Hi Flourish, I think your friend that found out she had hepatitis when donating blood is not too unusual. Apparently a large group of people have hepatitis, and they do not know it as some do not have symptoms.

    I think blowing out candles in a work or even a social setting is probably a bad idea. I am not sure about the coworker that bakes, but it doesn't sound like a great idea. I appreciate your comments.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    5 weeks ago from Sunny Florida

    Hi Eric, Full remission sounds like an answer to prayer. I appreciate your comments.

  • DDE profile image

    Devika Primić 

    5 weeks ago from Dubrovnik, Croatia

    An informative and well.-researched hub on this important topic. Often these signs are mistaken for other health issues.

  • Lorna Lamon profile image

    Lorna Lamon 

    5 weeks ago

    Excellent article Pamela with a concise and interesting explanation of the different types of Hepatitis disease and their effects.

  • Lora Hollings profile image

    Lora Hollings 

    5 weeks ago

    Pamela, this is an exceptional article on the different hepatitis viruses and how they can be transmitted, the symptoms, and the damage that they can cause. Prevention is preferable to getting these diseases and avoiding the serious consequences of these illnesses! As you say, it is wise to get the vaccines that are available and take the precautions that you mention in this article. I definitely learned some new things that I didn't know about the hepatitis virus. Thanks for sharing.

  • FlourishAnyway profile image

    FlourishAnyway 

    5 weeks ago from USA

    One thing I have always been curious about especially since I had a coworker with Hepatitis who would bake items and bring them in for people to eat — is that safe? I’ve also always been icked out by the practice of people blowing out birthday candles — spittle is certainly possible and you don’t know what germs they have. I’m probably overthinking it but I’m glad I can ask you. Your article was excellent. I had friend who discovered they had hepatitis when they donated blood. They were told never to donate again. Heck of a way to find out!

  • Ericdierker profile image

    Eric Dierker 

    5 weeks ago from Spring Valley, CA. U.S.A.

    Pamela I am twirling a carving from a water buffalo horn on my finger. Myanmar or maybe Burma, seems like the same place to me. I think I drank too much water but it seemed to work.How do you even know with Dilaugtin and methotrexate My doctors all have a habit of shaking their heads at me. Shrinks, GPs, Surgeons and Oncologists just assume.

    My wife just assumes Christ wants to punish her hihihi. Full remission once again.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    5 weeks ago from Sunny Florida

    Hi Eric, I know that liver damage is a side effect of chemotherapy, but I hate to hear it affected you that way. There is such a thing as water intoxication, which is not good.but you may not have gone that far. Water is good to wash out chemicals from your bodies and maybe that is what you were doing, Be well Eric, my firend.

  • Ericdierker profile image

    Eric Dierker 

    5 weeks ago from Spring Valley, CA. U.S.A.

    My liver was so toxified they could not do a rotten thing. Chemo therapy in advanced stages along with pancreatic involvement will do that. Artichoke and Bittergourd tea along with so much water I got drunk on it - really you can, of course iodine salt is required along with a real healthy diet. Berries are awesome.

    My GP laughs at me. He likes to say "why do you even come in?" My liver is one of my best friends. hihihi

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    5 weeks ago from Sunny Florida

    Hi Lorelei, I am so glad you found this article helpful. This is an awful disease, if you get the chronic types especially. Thank you for your comments.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    5 weeks ago from Sunny Florida

    Hi Liz, We hear so much about these different hepatitis diseases, so I thought it would be good to explain the differences. I am glad you found this article helpful. I appreciate your comments.

  • Lady Lorelei profile image

    Lorelei Cohen 

    5 weeks ago from Canada

    Excellent article. I was very impressed with the image of liver disease progressions. I learned a lot.

  • Eurofile profile image

    Liz Westwood 

    5 weeks ago from UK

    I wondered what the difference was between the different types of hepatitis. You have explained them well in this helpful and thorough article.

working

This website uses cookies

As a user in the EEA, your approval is needed on a few things. To provide a better website experience, hubpages.com uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at: https://hubpages.com/privacy-policy#gdpr

Show Details
Necessary
HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
LoginThis is necessary to sign in to the HubPages Service.
Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
AkismetThis is used to detect comment spam. (Privacy Policy)
HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the googleapis.com or gstatic.com domains, for performance and efficiency reasons. (Privacy Policy)
Features
Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
MavenThis supports the Maven widget and search functionality. (Privacy Policy)
Marketing
Google AdSenseThis is an ad network. (Privacy Policy)
Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
Index ExchangeThis is an ad network. (Privacy Policy)
SovrnThis is an ad network. (Privacy Policy)
Facebook AdsThis is an ad network. (Privacy Policy)
Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
AppNexusThis is an ad network. (Privacy Policy)
OpenxThis is an ad network. (Privacy Policy)
Rubicon ProjectThis is an ad network. (Privacy Policy)
TripleLiftThis is an ad network. (Privacy Policy)
Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
Statistics
Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)
ClickscoThis is a data management platform studying reader behavior (Privacy Policy)