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Diseases & conditions
Infections

Hepatitis E

Hepatitis E is a viral infection of the liver spread through drinking water contaminated with stool, often during floods or in crowded settlements. Most people recover fully within a few weeks. It can be very dangerous for pregnant women, especially in the last three months of pregnancy, when it can cause liver failure.

Symptoms

  • Yellow eyes and skin
  • Dark urine
  • Tiredness and loss of appetite
  • Nausea and vomiting
  • Belly pain
  • Mild fever

When to see a doctor

Get medical help quickly if you notice any of these:

  • Any jaundice in a pregnant woman: go to hospital the same day
  • Confusion or extreme sleepiness
  • Bleeding from gums or nose
  • Repeated vomiting and unable to drink
  • Jaundice that is not improving after 2 weeks

In an emergency, go to the nearest hospital or clinic straight away.

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Causes

  • Hepatitis E virus
  • Drinking water contaminated with sewage
  • Floods and broken water pipes
  • Poor sanitation in crowded camps or settlements
  • Undercooked meat in some cases

Prevention

  • Drink boiled or treated water, especially after floods
  • Wash hands with soap after the toilet and before eating
  • Use a clean latrine and keep it away from water sources
  • Cook meat well
  • Pregnant women should take extra care with drinking water

Treatment

  • Most people need no specific medicine; the liver heals by itself
  • Rest and drink plenty of fluids
  • Avoid alcohol and medicines or herbal remedies not advised by a doctor
  • Pregnant women with jaundice need hospital care
  • Do not start prescription medicines without a doctor

Common questions

Why is hepatitis E dangerous in pregnancy?

In late pregnancy, hepatitis E can cause sudden liver failure, which is dangerous for both mother and baby. A pregnant woman with yellow eyes or skin should go to hospital immediately.

How is hepatitis E different from hepatitis B?

Hepatitis E spreads through dirty water, like hepatitis A, and usually goes away by itself. Hepatitis B spreads through blood and can become a long-term infection.

General information onlyThis guide does not replace an examination by a doctor. Do not start or stop a medicine without a doctor's advice.