Thursday, June 16, 2022

Can You Recover From Hepatitis C

Is Alcoholic Hepatitis The Same As Cirrhosis

Genetic Markers that Predict Which Hepatitis C Patients Will Improve with Treatment

Alcoholic cirrhosis is an advanced stage of alcoholic liver disease, and is irreversible. Cirrhosis results when sustained inflammation destroys healthy, functioning liver cells which are replaced by scar tissue.

Taking remedial steps for alcoholic hepatitis can help regain significant liver function, but liver damage from cirrhosis is permanent and often leads to liver failure.

What The Cdc Recommends

Were you born between 1945 and 1965? If so, then youre a member of the Hepatitis C generation. The CDC recently recommended that all people born between during this time have a 1-time screening test for Hepatitis C. We now have new drugs that can treat and cure Hepatitis C so you should go get tested today.

The life you save may be your own! Please contact your local healthcare provider.

Who Is At Risk

People from, or visiting, developing countries that have less access to clean water or sanitation, are more at risk of getting hepatitis A. Aboriginal and Torres Strait Islander children have higher risk of infection.

Outbreaks of hepatitis A can also sometimes occur:

  • at childcare centres
  • in people who have eaten contaminated food
  • in people who inject drugs
  • in men who have sex with men.

Hepatitis A can affect people at any age.

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How Do I Get Hepatitis A

Hepatitis A is spread through close contact with an infected person, or by eating hepatitis A contaminated food or drinking water. Because the virus is found in the stool of infected people, eating food prepared by an infected person, who does not wash his/her hands properly after using the washroom, is one way of getting the virus.

Eating raw or undercooked seafood and shellfish from water polluted with sewage, or eating salad greens that are rinsed in contaminated water are other ways of becoming infected. Sharing drug-use equipment, or having sexual contact with an infected person can also give you hepatitis A.

While often considered to be a travellers disease, hepatitis A can be contracted in Canada. Hepatitis A outbreaks or scares in Canada are most often associated with infected food handlers in restaurants and grocery stores or with contaminated produce.

Chronic Hepatitis B Infection

What Are Extrahepatic Manifestations?

People who test positive for the hepatitis B virus for more than six months are diagnosed as having a chronic infection. This means their immune system was not able to get rid of the hepatitis B virus and it still remains in their blood and liver.

The risk of developing a chronic hepatitis B infection is also directly related to the age at which one first becomes exposed to the hepatitis B virus:

  • 90% of infected newborns and babies will develop a chronic hepatitis B infection
  • Up to 50% of infected children will develop a chronic hepatitis B infection
  • 5-10% of infected adults will develop a chronic hepatitis B infection

Learning that you have a chronic hepatitis B infection can be very upsetting. Because most people do not have symptoms and can be diagnosed decades after their initial exposure to the hepatitis B virus, it can be a shock and a surprise to be diagnosed with a chronic hepatitis B infection. The good news is that most people with chronic hepatitis B should expect to live a long and healthy life.

There are effective drug therapies that can control and even stop the hepatitis B virus from further damaging a liver. There are also promising new drugs in the research pipeline that could provide a cure in the very near future. Although the risk of developing a serious liver disease or liver cancer is higher for those living with chronic hepatitis B than those who are not infected, there are still many simple things a person can do to help reduce their risks.

Read Also: What Virus Causes Hepatitis C

Preventing The Spread Of Hepatitis C

There is no vaccine available to prevent a person from being infected with hepatitis C. Recommended behaviours to prevent the spread of the virus include:

  • Always use sterile injecting equipment. This can be accessed from your local needle and syringe program service.
  • Avoid sharing personal items such as toothbrushes, razors, nail files or nail scissors, which can draw blood.
  • If you are involved in body piercing, tattooing, electrolysis or acupuncture, always ensure that any instrument that pierces the skin is either single use or has been cleaned, disinfected and sterilised since it was last used.
  • If you are a healthcare worker, follow standard precautions at all times.
  • Wherever possible, wear single-use gloves if you give someone first aid or clean up blood or body fluids.
  • Although hepatitis C is not generally considered to be a sexually transmissible infection in Australia, you may wish to consider safe sex practices if blood is going to be present, or if your partner has HIV infection. You may wish to further discuss this issue and personal risks with your doctor.

Questions To Ask Your Doctor

  • Do I need treatment?
  • What treatment is best for me?
  • What medicines should I take?
  • Are there any medicines I should avoid?
  • How can I cope with the side effects of treatment?
  • Is there a therapist I can talk to?
  • How long will my treatment last?
  • Can hepatitis C be cured?
  • Are organ transplants and blood transfusions safe?
  • Is it safe for me to get pregnant?

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Symptoms Of Hepatitis C

It is very important to know that not everyone with hepatitis C has symptoms. The only way to know if you have hepatitis is by talking to your doctor and getting a blood test.

Many people living with hepatitis C feel well and only have symptoms once the disease has progressed and there is serious liver damage.

If you do not have symptoms this does not mean that the virus isnt causing damage.

When first infected, some people may find:

  • their urine becomes dark
  • their eyes and skin turn yellow
  • they experience a minor flu-like illness.

These symptoms may disappear within a few weeks, but this does not necessarily mean that the infection has been cleared.

Over time, symptoms that may develop include:

  • tiredness and fatigue
  • flu-like symptoms
  • pain in the abdomen where the liver is located
  • not feeling hungry and indigestion.

Around 30% of people who have been infected may clear the virus from their blood naturally, with no treatment, within 6 months. These people no longer have the hepatitis C virus and are not infectious, but will always have hepatitis C antibodies in their blood. The presence of hepatitis C antibodies shows that someone has been exposed to the virus, but does not offer any immunity against hepatitis C. People can become reinfected after clearing the virus naturally, or after treatment.

Can Hepatitis C Be Cured

Hepatitis | Diagnosis of Viral Hepatitis

Considerable progress has been made by past clinical trials in the medical treatment of hepatitis C. The rate of cure has increased with the development of direct-acting, all-oral antiviral regimens, and the length of therapy is much shorter. Treatment recommendations continue to change as new medicines become available. Treatment helps to reduce progression of liver damage to cirrhosis, may prevent liver cancer, and may prevent spread of the infection to other people.

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Diagram Showing The Liver

The liver is in the upper right part of your tummy . It has many functions which include:

  • Storing glycogen which is made from sugars. When required, glycogen is broken down into glucose which is released into your bloodstream.
  • Helping to process fats and proteins from digested food.
  • Making proteins that are essential for blood to clot .
  • Processing many medicines which you may take.
  • Helping to remove or process alcohol, poisons and toxins from your body.
  • Making bile which passes from your liver to your gut down your bile duct. Bile breaks down the fats in food so that they can be absorbed from your bowel.

Hepatitis A Vaccine And International Travel

Who should get the hepatitis A vaccine before traveling internationally?

All unvaccinated people, along with those who have never had hepatitis A, should be vaccinated before traveling to countries where hepatitis A is common. Travelers to urban areas, resorts, and luxury hotels in countries where hepatitis A is common are still at risk. International travelers have been infected, even though they regularly washed their hands and were careful about what they drank and ate. Those who are too young or cant get vaccinated because of a previous, life-threatening reaction to the hepatitis A vaccine or vaccine component should receive immune globulin. Travelers to other countries where hepatitis A does not commonly occur are not recommended to receive hepatitis A vaccine before travel.

How soon before travel should I get the hepatitis A vaccine?

You should get the first dose of hepatitis A vaccine as soon as you plan international travel to a country where hepatitis A is common. The vaccine will provide some protection even if you get vaccinated closer to departure. For older adults , people who are immunocompromised, and people with chronic liver disease or other chronic medical conditions the health-care provider may consider, based on several factors, giving an injection of immune globulin at the same time in different limbs.

What should I do if I am traveling internationally but cannot receive hepatitis A vaccine?

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How Is Acute Hepatitis B Treated

Acute hepatitis B doesnt always require treatment. In most cases, a doctor will recommend monitoring your symptoms and getting regular blood tests to determine whether the virus is still in your body.

While you recover, allow your body to rest and drink plenty of fluids to help your body fight off the infection. You can also take an over-the-counter pain reliever, such as ibuprofen , to help with any abdominal pain you have.

See a doctor if your symptoms are severe or seem to be getting worse. You may need to take a prescription antiviral medication to avoid potential liver damage.

Like acute hepatitis B, chronic hepatitis B may not require medical treatment to avoid permanent liver damage. In some patients, monitoring symptoms and getting regular liver tests is appropriate.

Treatment generally involves antiviral medications, such as:

  • peginterferon alfa-2a injections
  • antiviral tablets, such as tenofovir or entecavir

Antiviral medications can help to reduce symptoms and prevent liver damage. But they rarely completely get rid of the hepatitis B virus. Instead, the goal of treatment is to have the lowest viral load possible. Viral load refers to the amount of a virus in a blood sample.

Theres no cure for hepatitis B, but the condition is easily preventable by taking a few precautions. Hepatitis B is often spread through sexual contact, shared needles, and accidental needle sticks.

You can reduce your risk of developing hepatitis B or spreading the virus to others by:

You Can Still Get Hep C Again

Liver Biopsy: What You Need to Know

Hepatitis C is unlike many viruses you may be familiar with, since you can still become re-infected even after youve been cured. And, unfortunately, there is no vaccine on the horizon.

The antibody you get from hepatitis C is not protective, says Menon. Just because you got it once doesnt mean you cant get it again.

To avoid getting re-infected, its important to take all the steps youd take to avoid the virus in the first place. For example, dont share razors or syringes, and avoid sharing toothbrushes with people whove been diagnosed with hepatitis C. Its also a good idea to ask your partner to be tested for hepatitis C. The risk of sexual transmission is very low, but if your partner has hepatitis C they should get treated as well, says Menon.

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Why Cure Hep C

Curing your hep C clears the virus from your body. It reduces liver inflammation and can help reverse fibrosis and even cirrhosis.

Live free from the worry of hep C knowing that you no longer have hep C can help you feel better about yourself. For example, you may no longer feel worried about passing hep C to other people. There has been no better time to think about hep C treatment.

Find out more about the benefits of clearing hep C call the Hepatitis Infoline.

Grace talks about her experience of being cured of hepatitis C with new, highly effective treatments. Theres never been a better time to be cured of hep C.

Can A Transplant Cure Hepatitis C

If you develop chronic hepatitis C and it leads to liver cancer or liver failure, you may need a liver transplant. Hepatitis C is one of the most common reasons for a liver transplant.

A liver transplant removes a damaged liver and replaces it with a healthy one. However, theres a high likelihood that the hepatitis C virus will be transmitted to the new liver in time.

The virus lives in your bloodstream, not just your liver. Removing your liver wont cure the disease.

If you have active hepatitis C, continued damage to your new liver is very likely, especially if hepatitis C remains untreated.

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How Should I Take Care Of Myself If I Have Hepatitis C

Good health habits are essential for those who have hepatitis C. You should especially avoid alcohol and medicines and drugs that can put stress on the liver. You should eat a healthy diet and start exercising regularly. Your family doctor can help you plan a diet that is healthy and practical.

Talk to your doctor about any medicines that you are taking, including over-the-counter medicine. Many medicines, including acetaminophen , are broken down by the liver. Because of this, they may increase the speed of liver damage. You should also limit alcohol use. It speeds the progression of liver diseases like hepatitis C. An occasional alcoholic drink may be okay, but check with your doctor first.

Its More Important Than Ever To Keep Your Weight In Check

Viral Hepatitis A and E

The second main cause of liver damage beyond hepatitis C is fatty liver disease, which is caused by being overweight, notes Menon. That means if hepatitis C caused liver damage or cirrhosis, its especially important to keep your weight in check.

Menon recommends paying special attention to your diet and exercising to avoid weight gain. Otherwise, he says, there is no specific diet to promote liver health.

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The Hepatitis B Vaccine

The hepatitis B vaccine is one of the most effective ways to prevent hepatitis B. Its usually divided into three doses, which are given over the course of six months. In many countries, infants receive their first dose of the vaccine at birth.

The Centers for Disease Control recommends that all children under the age of 19 be vaccinated if they havent already received the vaccination. Adults can also get the hepatitis B vaccine, and its generally recommended if you have an increased risk of infection due to:

  • traveling to or living in a region where hepatitis B is common
  • being sexually active with more than one partner
  • working in a medical setting
  • using intravenous drugs

If youve been exposed to the hepatitis B virus and havent been vaccinated, try to see a doctor right away. They can administer the first dose of the vaccine, though youll need to follow up to receive the remaining doses over the next few months.

They can also prescribe a medication called

If I Get Tested For Hepatitis C And The Result Is Positive Do I Need Any Other Tests To Be Sure

When your provider wants to test you for hepatitis C, the first test you will have is the hepatitis C antibody . If this test is positive, it means you were infected with the hepatitis C virus at some point in the past. But this test alone is not enough. You will still need another test to confirm if you still have the hepatitis C virus in your system. About 1 out of 5 people who get infected with hepatitis C will be able get the rid of the virus on their own, without treatment, very early after their infection. So some people will have a positive antibody test, but a negative HCV RNA .

So, the second test that your provider should request is called hepatitis C virus RNA or HCV RNA test. There are several different tests available to check the HCV RNA. What matters is that if the RNA test is positive, then you do have chronic hepatitis C virus infection. If the RNA test is negative, then you may need to have this test again to be sure. If these RNA tests are all negative, then you no longer have hepatitis C infection and do not have chronic hepatitis C.

If your hepatitis C antibody test is positive, be sure that you get tested for hepatitis C RNA to find out whether the infection has become chronic or whether it has cleared. If the infection has become chronic, there are treatments your provider can prescribe to fight off the hepatitis C virus and keep your liver healthy.

Also Check: Hepatitis C Blood Test Results

Can Hepatitis C Be Prevented Or Avoided

The only way to prevent hepatitis C is to avoid coming in contact with an infected persons blood. Always have protected sex . Dont do intravenous drugs. Dont share personal care items with a person who has hepatitis C. If youre a health care worker, follow your workplaces standard safety practices.

How Long Can You Live With Alcoholic Hepatitis

Spotlight: What is Help

Prognosis for alcoholic hepatitis depends on the extent of liver damage and whether the person abstains from alcohol or continues drinking. The chances of full recovery from mild alcoholic hepatitis are excellent with total and immediate alcohol abstinence. Severe alcoholic hepatitis with complications has significantly high mortality, particularly if a person continues drinking.

In mild and moderate disease with no complications, 30-day mortality may be less than 20%. However, mortality can exceed 40% in the case of severe alcoholic hepatitis with extensive liver damage and complications . Overall, the 1-year mortality rate after hospitalization for alcoholic hepatitis is approximately 40%.

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