Hepatitis is a disorder in which viruses or other mechanisms produce inflammation in liver cells, resulting in their injury or destruction.
The liver is the largest organ in the body, occupying the entire upper right quadrant of the abdomen. It performs over 500 vital functions. Among them are the following:
It processes all of the nutrients the body requires, including proteins, glucose, vitamins, and fats.
The liver manufactures bile, the greenish fluid stored in the gallbladder that helps digest fats.
One of the liver's major contributions to life is to render harmless potentially toxic substances, including alcohol, ammonia, nicotine, drugs, and harmful by-products of digestion.
Old red blood cells are removed from the blood by the liver and spleen, and the iron contained in them is recycled to the bone marrow to make new red blood cells.
Most cases of hepatitis are caused by viruses that infect liver cells and begin replicating. There are several types of the Hepatitis virus, most commonly known being:
There is also Hepatitis D, E and G, but the viruses are all unique, but often share common transmissions routes and therefore preventable in similar ways.
Importantly, while Hepatitis A and B can be vaccinated against, they all cause damage to your liver if left untested. It is also quite common for people with HIV to be infected (co-infected) with hepatitis B and/or hepatitis C too.
Signs and Symptoms You may have the Hepatitis virus but not show any signs or symptoms. Signs and symptoms usually appear four to six weeks after infection and can range from mild to severe. They may include some or all of the following:
Loss of appetite
Nausea and vomiting
Weakness and fatigue
Abdominal pain, especially around your liver
Dark urine
Yellowing of your skin and the whites of your eyes (jaundice)
Joint pains
Alcohol intolerance (Hep C)
Major ways of transmission
You're most likely to become infected with hepatitis in the following ways:
Sexual transmission.
Depending on the hepatitis type, it can be transmitted during sex by unprotected fucking; rimming; shared sex toys if they're not washed or covered with a condom; sucking; fisting without latex gloves.
Blood transmission
Hepatitis is easily transmitted through needles and syringes contaminated with infected blood. That's why sharing IV drug paraphernalia puts you at high risk of hepatitis. It may also be transmitted by sharing razors/snorting pipes/tattooing and piercing equipment which has not been sterilised.
Contaminated food
With Hepatitis A, eating food or drinking contaminated liquids (water) (including ice) is a primary route for infections.
You can't be infected in any of the following ways:
Coming into contact with the sweat or tears of someone with hepatitis
Sharing a swimming pool, telephone or toilet seat with someone who has the virus
Blood transfusions within the UK since mid-1990s.
Where to get tested and vaccinated
Figures indicate half of London's gay men are not vaccinated against Hepatitis A and B. Your local GU Clinic will provide vaccinations - at Barts and the Ambrose King Centre they provide specialists clinics where you can walk-in and get vaccinated.
Where can I get support? There are a
number of telephone helplines and websites which can provide information and
support. Please see list below.
Positive East
telephone 020 7791 2855 or call
Signpost the Positive East confidential telephone helpline - Tuesday and Thursday 6:30 pm to 8:30 pm - on 020 7790 5795
THT Hepinfo.org Information site for gay men on hepatitis.
contact THT Direct on 0845 12 21 200
Patient UK
Comprehensive, free, up-to-date health information as provided by GPs to patients during consultations Tel: 020 7700 1323
Healthy Gay
Living Counselling @ HGLC
Tel: 020 7407 3550
HepCuk.info Telephone helpline Monday to Friday 12:00pm to 6:00pm - 0870 200 1 200 (calls charged at national rates).
NAM - Aidsmap
Factsheets and news on Hepatitis and HIV
For more information on your nearest GU clinics check BASHH GU Clinic listings or telephone NHS Direct on 0845 4647.
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