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Hepatitis in the elderly
Last reviewed: 07.07.2025
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Chronic hepatitis in the elderly is a disease that occurs due to various reasons. In 28% of cases, acute viral hepatitis in the elderly is the cause of ironic hepatitis. Currently, 2 forms of the disease are distinguished: persistent and active (aggressive) chronic hepatitis.
[ How does hepatitis manifest itself in older people?
In elderly and old people, persistent chronic hepatitis is mostly found. It is characterized by an asymptomatic course, blurred clinical manifestations. Patients complain of rapid fatigue, general weakness, loss of appetite, bloating and a feeling of heaviness in the abdomen, dull pain in the liver, a tendency to constipation or diarrhea.
During an objective examination, decreased nutrition, subicteric coloration of the sclera of the skin, and a yellowish, brownish coating on the tongue are often noted. Palpation reveals pain in the upper abdomen and in the liver area. The color of the feces becomes lighter. The prognosis for this form of hepatitis is favorable.
In chronic active hepatitis, the clinical picture is varied. The course of the disease is severe. The pain in the epigastric region of the abdomen is so intense that it makes one think of gallstones or ulcers. Dyspeptic symptoms, muscle weakness, insomnia, and increased irritability are often noted. Signs of allergy appear - skin itching, urticaria, arthralgia. In severe forms, jaundice increases, an enlarged painful liver and spleen are palpated. However, in older people, chronic active hepatitis progresses more slowly than in young people. With frequent relapses of the disease, cirrhosis of the liver develops.
How is hepatitis treated in the elderly?
Treatment of chronic persistent hepatitis consists of maintaining a rational regime of work, rest and nutrition, and treating concomitant diseases. Among the medications prescribed are tamin, lipotropic, choleretic, and antispasmodic drugs. Antibacterial therapy is indicated for inflammation of the bile ducts. Sanatorium and resort treatment gives a good effect.
In case of exacerbation of hepatitis, the use of corticosteroids is indicated. The main therapy is the same as for persistent hepatitis.