Over the last 50 years the absolute levels at which patient is diagnosed as ‘Hypertensive’ has kept on changing.
HEPATITIS A 
It is highly contagious but does not cause any permanent liver damage. It is usually acquired from contaminated food.
HEPATITIS B
It can cause acute liver failure where it severely disturbs the liver functions, thereby requiring hospital admission & management.
HEPATITIS E
It can cause life threatening severe liver disease with features of liver failure, requiring intensive management and liver transplant.
DIFFICULTY IN SWALLOWING (DYSPHAGIA)
It is a very serious symptom, should never be taken lightly as it may be associated with underlying serious disease.
