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Hepatitis A

Medically Reviewed.Last updated on 03/09/2026.

Hepatitis A is a contagious liver infection caused by the hepatitis A virus (HAV). Most cases are mild and clear up on their own. But the virus spreads easily through contaminated food and water, as well as close contact with someone who has it. You can protect yourself and others by getting vaccinated and practicing good hygiene.

What Is Hepatitis A?

Hepatitis A is a liver infection caused by the hepatitis A virus (HAV). It leads to swelling and irritation in your liver (hepatitis). HAV is highly contagious. It spreads easily through contaminated food and water and person-to-person contact.

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The symptoms of hepatitis A are usually mild. The infection typically clears up on its own within a couple months. Rarely, hepatitis A can lead to liver failure. This is most common in people with other liver conditions. You can prevent hepatitis A with a vaccine.

Symptoms and Causes

Hepatitis A symptoms

Most people with hepatitis A develop symptoms two to six weeks after they get the infection. But not everyone has symptoms. Adults are more likely to develop them than children.

If you do have symptoms, they can include:

  • Yellowing of your skin and the whites of your eyes (jaundice)
  • Fever
  • Fatigue
  • Loss of appetite
  • Nausea and vomiting
  • Abdominal pain, especially in the upper right (where your liver is)
  • Diarrhea
  • Dark-colored pee
  • Clay-colored poop
  • Itchy skin
  • Joint pain

Your symptoms should go away within two months. For some people, they may last as long as six months.

How do you get hepatitis A?

The hepatitis A virus (HAV) causes hepatitis A. It spreads through contact with an infected person’s poop. Hepatitis A transmission occurs when even tiny amounts of infected poop enter your mouth. This is called fecal-oral transmission.

You may get hepatitis A by:

  • Eating or drinking contaminated food or water
  • Eating raw or undercooked shellfish that came from somewhere with poor sewage disposal
  • Not washing your hands after using the bathroom or changing a diaper
  • Not washing your hands before preparing or eating food

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You can also get it by having close contact with someone who has the infection. But it doesn’t spread through sneezing, coughing or casual contact.

Is hepatitis A sexually transmitted?

Yes. Hepatitis A can spread during sexual contact, especially oral-anal contact.

Is hepatitis A contagious?

Yes. Hepatitis A is very contagious. The virus spreads easily from person to person. You’re most contagious two weeks before symptoms start. The risk goes down after symptoms appear. But you can still spread the virus even if you don’t have symptoms.

Risk factors for hepatitis A

Anyone who hasn’t been vaccinated against hepatitis A or previously had the infection can get it. But you’re at a higher risk if you:

  • Are experiencing homelessness
  • Work in a lab where HAV is present
  • Inject and use addictive substances
  • Travel to or live in areas with poor sanitation
  • Live with someone who has the virus
  • Have chronic (lifelong) liver disease
  • Have sex with someone who has HAV
  • Have anal sex

Complications

Hepatitis A doesn’t cause liver damage or disease like other hepatitis viruses. That’s because it’s usually a mild illness. Most people get better before the virus can cause complications.

Rarely, hepatitis A can lead to liver failure. This is more common in people over 65 and people with pre-existing liver conditions.

Diagnosis and Tests

How doctors diagnose hepatitis A

A healthcare provider will ask about your symptoms and perform a physical exam. During this exam, they’ll look for signs of liver disease, like:

You’ll need to get a blood test to diagnose the condition. This test will check your blood for HAV antibodies. Your immune system creates antibodies in response to viruses. If you have HAV antibodies, your provider can confirm you have hepatitis A.

Management and Treatment

Is hepatitis A curable?

There’s no cure for hepatitis A, and there’s no specific treatment. Most people recover completely within six months. The virus usually goes away on its own. Hepatitis A treatments focus on managing your symptoms. Your healthcare provider may recommend:

  • Getting rest: Stay home from school or work for at least a week after symptoms begin.
  • Drinking fluids: Sip liquids throughout the day. If you’re nauseated, try broths or clear soups.
  • Avoiding alcohol: Take a break from alcohol. Also, quit using addictive substances.
  • Avoiding fatty foods: Try to eat healthy foods, like fruits, vegetables, whole grains and lean meats.

Some medicines, like acetaminophen, may be safe to relieve symptoms in the right doses. Check with your provider before taking any medications or supplements.

Recovery time

Symptoms of hepatitis A last for as long as it takes your immune system to defeat the virus. Most people recover within two months. If you have a weakened immune system, the infection might last longer — up to six months. Sometimes, symptoms appear to be gone, but then come back (relapse).

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When should I see my healthcare provider?

If you think you may have a hepatitis A infection, contact a provider as soon as possible for testing. If you’re recovering from the infection, contact your provider if your symptoms get worse or aren’t improving. They’ll figure out the next step in your treatment.

Outlook / Prognosis

What can I expect if I have hepatitis A?

Most people with hepatitis A recover completely. You may feel unwell for several weeks to months. But your body should eventually clear the virus without treatment.

Rarely, people develop chronic liver disease or other complications. It’s important to see your healthcare provider right away if you have symptoms of hepatitis A.

Prevention

How can hepatitis A be prevented?

The best way to prevent hepatitis A is through immunization. Your provider can give you the hepatitis A vaccine in two doses. This can give long-term protection from the virus.

If you’ve been exposed to hepatitis A, getting vaccinated within two weeks can help prevent infection.

Other ways you can prevent hepatitis A include:

  • Washing your hands often
  • Avoiding contact with people who have the infection
  • Only eating food that’s been properly handled
  • Drinking safe water
  • Practicing safe sex

A note from Cleveland Clinic

Living with or recovering from hepatitis A can be stressful, especially when you’re waiting for symptoms to improve. Remember that most people heal fully with time and supportive care. If you have questions, new symptoms or concerns, reach out to your healthcare provider. They’re there to help guide you through treatment and recovery.

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Medically Reviewed.Last updated on 03/09/2026.

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References

Cleveland Clinic’s health articles are based on evidence-backed information and review by medical professionals to ensure accuracy, reliability and up-to-date clinical standards.

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