Chronic hepatitis, often associated with liver-related issues, can lead to a range of unexpected complications affecting other organs and systems. These extrahepatic manifestations, such as vasculitis, glomerulonephritis, and depression, are often overlooked but can significantly impact the quality of life of individuals living with chronic hepatitis. It’s important to understand that hepatitis doesn’t only affect the liver; it can cause problems throughout the body.
- Vasculitis: Inflammation of the Blood Vessels
- What it is: Vasculitis is the inflammation of blood vessels that can occur as a result of chronic hepatitis, particularly hepatitis C.
- Symptoms:
◦ Skin rashes
◦ Joint pain
◦ Fatigue
◦ Severe cases may involve kidney damage or nerve problems.
- Why it’s important: The immune response to chronic hepatitis can inadvertently target the blood vessels, leading to inflammation. Early detection is key to preventing further damage to the organs.
- What you can do: It’s essential to consult a gastroenterologist, such as Dr Fernandes Mark Lee, who can help manage this condition and monitor your liver health alongside the possibility of vasculitis.
- Glomerulonephritis: Kidney Complications
- What it is: Glomerulonephritis is an inflammation of the kidney’s filtering units (glomeruli) and can be triggered by chronic hepatitis, particularly hepatitis C.
- Symptoms:
◦ Swelling, especially in the legs and face
◦ High blood pressure
◦ Blood or protein in urine
- Why it’s important: Chronic hepatitis can cause immune complexes to form, which can damage the kidneys over time. If left untreated, kidney function can deteriorate.
- What you can do: Regular kidney function checks are crucial. Seeing a gastroenterologist ensures that kidney issues are identified early, allowing for appropriate management.
- Depression: The Mental Health Toll
- What it is: Depression is a common yet often overlooked complication of chronic hepatitis, influenced by both the physical burden of the disease and its emotional impact.
- Symptoms:
◦ Persistent feelings of sadness or hopelessness
◦ Fatigue and loss of interest in daily activities
◦ Sleep disturbances and appetite changes
- Why it’s important: Chronic illness can significantly affect mental well-being. The connection between liver disease and depression may be due to factors such as chronic inflammation, the burden of a long-term illness, and the side effects of medications.
- What you can do: Addressing mental health is just as crucial as treating physical symptoms. Regular check-ups with your gastroenterologist, like Dr Mark Lee, can help ensure that both physical and emotional health are managed effectively.
- Why Extrahepatic Manifestations Matter
- Holistic care: Chronic hepatitis isn’t just a liver condition. The disease’s impact on other organs and mental health must be recognised for effective management.
- Monitoring is key: Regular screenings for complications like vasculitis, kidney disease, and depression are essential in preventing long-term damage. If left unchecked, these complications can exacerbate the progression of chronic hepatitis.
- Consulting a Specialist
- A gastroenterologist, like Dr Mark Lee, can help manage chronic hepatitis with a focus on the liver and its extrahepatic manifestations. They can guide you through the complexities of managing these complications and provide the right screening and treatments to ensure better health outcomes.
Conclusion
Living with chronic hepatitis means managing more than just liver function. Conditions like vasculitis, glomerulonephritis, and depression can arise, impacting other areas of the body. Recognising these complications early and addressing them effectively can improve both physical and mental well-being. If you’re living with chronic hepatitis, make sure to consult with a gastroenterologist like Dr Mark Lee, who can offer a comprehensive approach to your treatment and help safeguard your overall health.
