Clinical Presentation of Hepatitis
When you get hepatitis, your body typically goes through four phases. During Phase 1 (viral replication), you might not feel sick at all, even though the virus is multiplying in your body. In Phase 2 (prodromal phase), you'll start experiencing symptoms like nausea, fatigue, and body aches that often get mistaken for the flu or stomach bug.
By Phase 3 (icteric phase), more obvious signs appear - your urine darkens, stool becomes pale, and your skin might turn yellow (jaundice). Your liver may enlarge and become painful. Finally, during Phase 4 (convalescent phase), your symptoms gradually improve as your liver begins to heal.
Each hepatitis virus causes slightly different symptoms. Hepatitis A and E typically cause acute illness with flu-like symptoms. Hepatitis B and D can cause similar acute symptoms but have higher risks of developing into chronic conditions. Most people with Hepatitis C (about 80%) show no symptoms initially, making it particularly dangerous as it silently damages the liver.
Important: Hepatitis E can be particularly dangerous for pregnant women, who face a significantly higher mortality rate than other patients.