Chickenpox and hepatitis: what to know

Hepatitis means inflammation of the liver. During chickenpox, a person may feel unwell from the infection itself, so symptoms do not prove that the liver is affected. Concern rises with yellow skin or eyes, dark urine, pale stools, persistent nausea or vomiting, pain beneath the right ribs, marked drowsiness or unusual bleeding. A clinician may review medicines and arrange blood tests to assess liver function. Do not assume a blistering rash explains these symptoms without evaluation.

Contact a GP Consultation service promptly and explain that chickenpox is suspected or confirmed, when symptoms began, and every medicine or supplement being taken. Avoid alcohol and do not take extra paracetamol or other medicine beyond the labelled or prescribed direction until a clinician confirms what is suitable. Rest, drink fluids and avoid close contact with vulnerable people while contagious. Antiviral Treatment may be considered by a clinician; it should not be borrowed or self-started.

Seek urgent care for yellowing of the skin or eyes, confusion, severe sleepiness, repeated vomiting, severe abdominal pain, fainting, breathing difficulty or inability to drink. A rapidly worsening rash, bleeding, or a very high or persistent fever also warrants prompt review. Take a list of medicines with you, especially if treatment for another condition affects the liver.

Ask whether liver tests are needed, which pain or fever medicines are safe, whether antiviral treatment is appropriate, and what symptoms indicate worsening liver inflammation. Ask when follow-up should occur and how to protect household contacts.