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Hepatitis A In Children

AMBULATORY CARE:

Hepatitis A

is inflammation of the liver caused by hepatitis A virus (HAV) infection. HAV is most often spread through contaminated food or water, or close contact with someone who is infected.

Abdominal Organs

Common signs and symptoms:

Your child may have no symptoms. Symptoms usually begin between 28 to 30 days after exposure to HAV, but it may be up to 50 days. Your child may have the following signs and symptoms:

  • Low fever, usually under 100.4°F (38°C)
  • Dark urine or pale bowel movements
  • Fatigue
  • Nausea, vomiting, or loss of appetite
  • Pain in the right upper side of his abdomen
  • Jaundice (yellow skin and eyes) and itchy skin

Seek care immediately if:

  • Your child has severe abdominal pain.
  • Your child is too dizzy to stand up.
  • Your child vomits blood or material that looks like coffee grounds.
  • Your child's bowel movements are red or black, and sticky.
  • Your child is confused, unusually sleepy, irritable, or jittery.

Contact your child's healthcare provider if:

  • Your child is vomiting and cannot keep food or liquids down.
  • Your child is bruising easily.
  • You have questions or concerns about your child's condition or care.

Treatment:

Usually your child will be treated at home. Medicine may not be needed. If your child vomits a lot, he or she may need to go to the hospital to get fluids through an IV. Rest and healthy food will help your child get better.

Manage hepatitis A:

  • Offer your child a variety of healthy foods. Healthy foods include fruits, vegetables, whole-grain breads, low-fat dairy products, and lean meats and fish. Your child's healthcare provider or dietitian may recommend that you limit protein foods such as milk, fish, meat, and fatty foods. Protein and fat make your child's liver work harder. As he or she feels better, you can add other kinds of foods.
  • Talk to your adolescent about not drinking alcohol. Alcohol can increase liver damage. Talk to your healthcare provider if your adolescent drinks alcohol and needs help to stop.
  • Have your child drink more liquids. Liquids help your child's liver function properly. Ask your child's healthcare provider how much liquid to drink each day and which liquids are best for him or her.
  • Have your child rest more. Your child needs to rest when he or she is tired. Have your child slowly return to usual activities when he or she feels better.

Prevent the spread of HAV:

Your child is most contagious in the 2 weeks before and the first week after he or she becomes jaundiced. Your child's friends and family members may need to get the hepatitis A vaccine. If your adolescent is sexually active, his or her sex partner may also need to get the vaccine. After a person has hepatitis A, it is too late to get the vaccine. The following are ways to prevent the spread of HAV:

  • Do not let your child share dishes or utensils. Soak dishes and utensils in boiling water. Then wash them, or use a dishwasher. You may want to use disposable dishes.
  • Do not let your child prepare food or meals for other people.
  • Wash your and your child's hands well before you eat and after you use the bathroom or change a child's diaper.
  • Wash clothing and bedding in the hottest water setting.
  • Clean toilets with a product that kills germs.
  • Let your healthcare provider know if your adolescent's work involves preparing or serving food, or close physical contact with other people. If he or she does this kind of work, the health department will need to evaluate if these people have been exposed to hepatitis A. Your child cannot return to work until your healthcare provider says it is safe.

Follow up with your child's healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Learn more about Hepatitis A In Children (Ambulatory Care)

Associated drugs

Micromedex® Care Notes

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