Hepatitis D

Disease database

Hepatitis D, also known as delta hepatitis, is a viral infection that affects the liver. It is caused by the hepatitis D virus (HDV), which is a small, defective RNA virus that requires the presence of the hepatitis B virus (HBV) to replicate. Hepatitis D can only occur in individuals who are already infected with HBV, as HDV cannot replicate on its own. This co-infection of HBV and HDV can lead to more severe liver disease compared to HBV infection alone.

Fatigue: When Your Energy Levels Plummet

Fatigue is one of the most common symptoms of hepatitis D. It is characterized by a persistent feeling of tiredness and lack of energy. Individuals with hepatitis D may experience extreme exhaustion, even after getting enough rest. This fatigue can significantly impact daily activities and quality of life.

Joint Pain: When Your Joints Ache

Joint pain is another symptom that individuals with hepatitis D may experience. It can affect multiple joints in the body, causing discomfort and stiffness. The pain may be mild or severe and can interfere with mobility and daily tasks.

Abdominal Pain: When Your Stomach Hurts

Abdominal pain is a common symptom of hepatitis D. It is often described as a dull, persistent ache in the upper right quadrant of the abdomen, where the liver is located. The pain may worsen after eating or exertion and can be accompanied by other digestive symptoms such as nausea and vomiting.

Dark Urine: When Your Urine Turns Dark

Dark urine is a characteristic symptom of hepatitis D. It occurs due to the presence of bilirubin, a yellow pigment produced by the liver. When the liver is damaged or inflamed, it may not be able to process bilirubin effectively, leading to its accumulation in the body. This can result in dark-colored urine.

Jaundice: When Your Skin Turns Yellow

Jaundice is a visible sign of liver dysfunction and is characterized by the yellowing of the skin and eyes. It occurs when bilirubin builds up in the body and is deposited in the skin. Individuals with hepatitis D may develop jaundice as the disease progresses. It is important to note that not all individuals with hepatitis D will develop jaundice.

Clay-Colored Stools: When Your Stools Lose Color

Clay-colored stools are another symptom of hepatitis D. The absence of bile, which gives stools their normal brown color, can result in pale or clay-colored stools. This change in stool color can be a sign of liver dysfunction and should be evaluated by a healthcare professional.

Nausea: When Your Stomach Feels Upset

Nausea is a common symptom experienced by individuals with hepatitis D. It is characterized by a feeling of queasiness or an urge to vomit. Nausea can be accompanied by other digestive symptoms such as loss of appetite and abdominal discomfort.

Vomiting: When Your Stomach Rejects Food

Vomiting may occur in individuals with hepatitis D, particularly if they experience severe nausea. It is the forceful expulsion of stomach contents through the mouth and can be accompanied by other symptoms such as abdominal pain and dehydration.

Treatment and Prevention: Taking Control of Hepatitis D

Currently, there is no specific antiviral treatment available for hepatitis D. However, individuals with hepatitis D should receive medical management to monitor liver function and manage symptoms. In some cases, liver transplantation may be necessary for individuals with advanced liver disease.

Prevention Strategies:

  • Get vaccinated against hepatitis B: Since hepatitis D requires the presence of hepatitis B to cause infection, getting vaccinated against hepatitis B can help prevent hepatitis D.
  • Practice safe sex: Hepatitis D can be transmitted through sexual contact, so using barrier methods such as condoms can reduce the risk of infection.
  • Avoid sharing needles: Hepatitis D can be transmitted through contaminated needles, so it is important to avoid sharing needles or other drug paraphernalia.
  • Take precautions in healthcare settings: Healthcare workers should follow standard precautions to prevent the transmission of hepatitis D and other bloodborne viruses.

It is important for individuals with hepatitis D to maintain a healthy lifestyle and take steps to protect their liver. This includes avoiding alcohol, which can further damage the liver, and following a balanced diet to support liver function. Regular exercise and stress management techniques can also help improve overall well-being.

In conclusion, hepatitis D is a viral infection that affects the liver and can cause symptoms such as fatigue, joint pain, abdominal pain, dark urine, jaundice, clay-colored stools, nausea, and vomiting. While there is no specific treatment for hepatitis D, individuals should receive medical management to monitor liver function and manage symptoms. Prevention strategies, such as getting vaccinated against hepatitis B and practicing safe sex, can help reduce the risk of hepatitis D. By taking control of their health and following preventive measures, individuals can minimize the impact of hepatitis D on their lives.

Haroon Rashid, MD
Rate author
Urgent Care Center of Arlington, VA
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