Hepatitis A

What Causes Hepatitis A?

In order to deal properly with hepatitis A we need to understand and — if possible — remove the underlying causes and risk factors.  We need to ask: "What else is going on inside the body that might allow hepatitis A to develop?"

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Accurate diagnosis of the factors behind hepatitis A consists of three steps:

Step 1: List the Possible Causative Factors

Identify all disease conditions, lifestyle choices and environmental risk factors that can lead to hepatitis A.  Here are four possibilities:
  • Ulcerative Colitis
  • Selenium Need
  • Gluten Sensitivity
  • Immune System Imbalance

Step 2: Build a Symptom Checklist

Identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
meals worsen left iliac pain
joint pain/swelling/stiffness
having watery stools
flatulence
somewhat elevated basophil count
significant bowel movement changes
very strong appetite
major fatigue for over 12 months
past vaccinations
sugary soft drinks consumption
major joint pain/swelling/stiffness
frequent stools
... and more than 40 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of hepatitis A:
Cause Probability Status
Selenium Need 92% Confirm
Gluten Sensitivity 22% Unlikely
Ulcerative Colitis 5% Ruled out
Immune System Imbalance 3% Ruled out
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

If you indicate liver problems, The Analyst™ will ask further questions including this one:
Hepatitis A. Have you ever been diagnosed with it?
Possible responses:
→ Never had it / don't know
→ Probably had it / minor episode in the past
→ Significant episode in the past, now resolved
→ Currently infected for under 3 months
→ Currently infected for more than 3 months
Based on your response to this question, which may indicate either history of hepatitis A or hepatitis A, The Analyst™ will consider possibilities such as:
Gluten Sensitivity / Celiac Disease

Celiac disease has long been recognized as a cause of chronic liver pathology.  [Lancet 1977;2(8032): pp.270-2]

Immune System Imbalance (TH2 Dominance)

It has been suggested that an impaired TH1 immune response appears to favor chronicity of hepatitis C infections.  Whether impaired activity of the NK cells in chronic HCV infections is due to a dominance of TH2 lymphocytes remains to be seen.

Ulcerative Colitis

The immune system may trigger mild inflammation in the liver as a result of ulcerative colitis.  This problem is usually mild and goes away when the colitis is treated.

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