Hepatitis Symptoms And What You Need To Know

Hepatitis can present a wide range of symptoms, and many patients clinically experience fatigue, nausea, loss of appetite, aversion to oily foods, and vomiting. In addition, some individuals may suffer from bloating, itchy skin, a dull and lifeless complexion, and facial pigmentation. One of the more recognizable signs is jaundice, which causes yellowing of the skin and whites of the eyes, along with darkened urine.

Some patients may develop spider angiomas—small, spider-like blood vessels visible on the skin—commonly found on the neck, chest, back of the hands, and upper arms. Another notable symptom is palmar erythema, or "liver palms," where the skin on the fleshy part of the hand becomes reddish and fades temporarily under pressure. In cases of alcoholic hepatitis, individuals may exhibit a characteristic "alcoholic face" with a red, swollen nose, often referred to as rhinophyma. Autoimmune hepatitis may also lead to skin rashes, significant abdominal bloating, diarrhea, or constipation. An enlarged liver can cause discomfort or pain in the upper right quadrant of the abdomen, and tenderness in the liver area may be detected during a physical examination.

In severe cases of hepatitis, bleeding disorders and abnormal blood clotting may occur. Patients may develop gastric mucosal erosion or bleeding, potentially leading to black, tarry stools or even vomiting blood. As the condition progresses to advanced stages, neurological symptoms may appear, including fatigue, numbness in the limbs, memory loss, hand tremors, confusion, and in severe cases, coma. Early detection and medical evaluation are crucial for managing hepatitis and preventing complications.