Sunday, May 29, 2022

How Do You Know If You Have Hepatitis C

When Should You See A Doctor Or Other Healthcare Professional

What to know about Hepatitis C

Since so many people dont experience any symptoms, healthcare professionals recommend getting screened for hepatitis C at least once in your adult life. They may recommend more frequent screenings if you have a higher risk of contracting the virus.

Hepatitis C doesnt always become severe, but the chronic form can increase your risk for liver damage, liver cancer, and liver failure.

If you have any symptoms that suggest hepatitis C, especially if theres a chance youve been exposed, connect with a doctor or another healthcare professional as soon as possible to discuss your options for testing and treatment.

With a prompt diagnosis, you can get treatment earlier, which may help prevent damage to your liver.

Should I Have Other Specialists On My Treatment Team

If you have an addiction for example, to alcohol, cigarettes, or illicit drugs you may benefit from working with an addiction specialist who can help you kick the habit. A hepatologist can treat the virus itself, a mental health professional can help you cope with anxiety or depression, and a registered dietitian can help you create a customized, healthy diet.

How Do I Know If I Have Hepatitis C Virus

Diagnosis of hepatitis C virus requires a blood test your doctor can order. Other blood tests can determine which subtype of HCV you have to better target your drug treatment, if needed. Your doctor will also want to know your viral load . In some patients, a liver biopsy is required to determine the level of damage.

Symptoms of chronic HCV may not appear for 2 to 3 decades after infection, so the disease may develop silently in your body for many years. This is the reason you should be tested for HCV infection, to start treatment if needed and to help protect your liver from damage.

The US Centers for Disease Control and Prevention recommends anyone 18 years or older be tested for hepatitis C virus at least once in their lifetime. Women should be tested for hepatitis C testing during each pregnancy. Some high risk groups may need more frequent testing, such as people who share drug preparation equipment and those on hemodialysis.

Learn More: Oral Hepatitis C Treatments: The Evolving Landscape

Recommended Reading: How Do Most People Get Hepatitis C

What Are The Most Common Signs And Symptoms Of Hepatitis C

It sounds strange, but there really are no symptoms of hep C. In fact, about half of people with hep C don’t even know they’re infected, according to the Mayo Clinic.

Those who do have symptoms may experience minor issues like fatigue and muscle aches, which can be chalked up to any number of reasons, like an intense workout or just life in general. But because these symptoms are so ubiquitous, theyre easy to miss, and you likely wouldnt associate them with hep C.

If You Have Hepatitis C Should You Get A Flu Shot

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Yes. Having chronic hepatitis C is actually a good reason to get the flu shot. Chronic hepatitis C is a condition that can increase your risk of complications if you do get influenza. That’s why it is recommended for people with hepatitis C, and most chronic liver diseases, to be vaccinated against the flu.

To stay up to date with your influenza vaccinations, you need to be vaccinated every year–ideally, early in the flu season or as soon as the vaccine becomes available. Typically, flu season is considered to be October to March. It’s best to get vaccinated annually because the vaccine is designed differently each year to target the strains of influenza that are expected to circulate during that particular flu season.

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Symptoms Of Infection With Hepatitis C

Symptoms of acute infection with hepatitis C

Acute infection is the period when you first contract the virus, during this period most people do not seem to experience any noticeable symptoms.

For the 25-35% of people who do, the symptoms are normally vague and non-specific.They can include: Abdominal pain Nausea and vomiting

About 20% of the people who develop symptoms experience jaundice. This can be seen in the yellowing of the skin and eyes. This is a sign of the livers functions being affected as bilirubin begins to build up in the body. Jaundice is a recognised sign of liver problems and may lead to a test for hepatitis C being suggested.The problem for most people is that they are unaware that they have been infected because of the lack of symptoms. As these symptoms are similar to many other short term infections most people are unlikely to seek medical attention.

And even when they do, most doctors will not necessarily suspect or test for hepatitis C.

Symptoms of chronic infection with hepatitis C

Chronic infection doesn’t mean that you have symptoms, chronic means that the infection is ongoing, that you are living with the virus.

The hepatitis C virus is associated with a wide spectrum of liver disease. This ranges from minor inflammation to cirrhosis, and in certain cases liver cancer.

Chronic fatigue

Pains in the upper part of the abdomen

Dry eyes, irritable bowel and irritable bladder

Do not assume that all of your aches and pains are related to hepatitis.

What Do My Test Results Mean

There are two blood tests that are used to detect hepatitis C. The first tests for hepatitis C antibodies, or signs that your body fought or is fighting an infection. The results will tell your doctor whether youve ever had the virus.

If the antibody test is positive, youll receive a second test, which can detect the amount of virus, or viral load, in your blood. Your doctor may then conduct a third blood test to determine which type you have, to allow for more targeted hepatitis C treatment.

Also Check: How Can You Treat Hepatitis C

How Do You Know If You Have Cirrhosis

Cirrhosis

Often, you cannot know whether you have cirrhosis until the disease is advanced. Only your health care provider can tell you if you have cirrhosis.

There are many signs of cirrhosis that your provider may find. You may have red palms or small spider-like veins on your face or your body. You may have developed fluid in your abdomen.

Your provider may order blood tests that point to cirrhosis. Other tests can also give your provider a good idea of whether you have cirrhosis, such as an ultrasound, a CAT scan, an MRI, or a special kind of ultrasound that measures the amounts of stiffness in your liver .

Sometimes, you may need a liver biopsy. A liver biopsy shows how much scarring your liver has and will help your health care provider figure out what is causing the damage and how best to treat it.

What Is Hepatitis C

Free screening can help you know whether you have Hep C

Hepatitis C is a liver infection that can lead to serious liver damage. Itâs caused by the hepatitis C virus. About 2.4 million people in the U.S. have the disease. But it causes few symptoms, so most of them don’t know. The virus spreads through an infected personâs blood or body fluids.

There are many forms of the hepatitis C virus, or HCV. The most common in the U.S. is type 1. None is more serious than any other, but they respond differently to treatment.

Read Also: Hepatitis B Vaccine Cost Without Insurance

Why Is It So Important To Take Hepatitis C Drugs Correctly

Taking any medicine correctly is extremely important. Taking medicines correctly means:

  • not skipping doses
  • taking the medicine as instructed, such as with or without food
  • not running out of the medicine before you have picked up your refill
  • not stopping the treatment earlier than planned
  • For hepatitis C drugs, these issues are especially important because, if a medicine is not taken correctly, it may not kill the virus completely. Then, because the virus has “seen” the drug, it learns how to mutate and change in ways that allow it to escape the drug and avoid getting killed off. This is called drug resistance.

    Developing drug resistance is a serious issue. It means that the treatment may not work and that the patient may not respond to future treatments.

    To prevent drug resistance, it is important to take any medication correctly, but especially DAAs such as Harvoni, Mavyret, Epclusa, and Zepatier.

    Resistance can develop quickly. It is very important to take these new antiviral medications according to instructions, on schedule, and not to skip or reduce doses.

    What Are Treatment Options For Hepatitis C

    While no one wants to get diagnosed with a blood infection, hep C is 98% curable when you take the recommended course of treatment. Unlike the weekly interferon injections of the past, which delivered side effects as harsh as chemotherapy, treatment has come a long way in the past few years.

    Thanks to a class of meds called direct-acting antivirals , most people with hep C can be completely cured of the disease in just a matter of weeks . DAAs are taken in daily tablet form and while some patients experience mild side effects, they can usually be managed with OTC meds.

    DAAs target and eliminate proteins found in the hep C virus the two most common medications prescribed are Mavyret and Epclusa , both of which include a cocktail of different types of antiviral drugs in one pill.

    In rare cases , DAAs dont work to clear the virus. When this happens, doctors will most often prescribe a more aggressive antiviral medication such as Vosevi. Because Vosevi is a potent combination of three antiviral drugs , it has a slightly higher burden of side effects, including:

    • Headache

    • Diarrhea

    • Nausea

    If youre put on DAAs, your doctor might also prescribe a longer course of treatment to clear the infection and will know for sure if the virus is gone by measuring how much viral genetic material is in your blood.

    Also Check: Can Chronic Hepatitis B Be Cured

    How Does Hepatitis C Progress

    When someone is first infected with hepatitis C, most likely they have no symptoms and are unaware. Occasionally people experience fatigue, loss of appetite, weakness or sometimes having a yellow color in their skin or eyes. Although having any symptoms at all is rare, if they do occur, they usually go away within a few weeks.

    Around 15-25% of people who are infected will spontaneously fight off the virus on their own and they will not have a chronic hepatitis C infection and no long term damage occurs.

    But around 75-85% of people will develop chronic infection. Most of the time, people with chronic hepatitis C have no symptoms at the time of infection and no symptoms for years or even decades of chronic infection. The virus will be with them until they are successfully treated with hepatitis C medications.

    Around 10-20% of people with chronic infection will slowly have gradual damage in the liver over years and will eventually develop cirrhosis . This can take 20 years or more from the time of the initial infection.

    Cirrhosis is the replacement of liver cells with permanent scar tissue. Cirrhosis can lead to problems such as bleeding from veins in the esophagus, fluid buildup in the belly, and damaged brain function.Approximately 15% of people with cirrhosis will develop liver cancer during their lifetime. Drinking excessively can double the chance of liver cancer in people infected with HCV.

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

    You May Have Hepatitis C and Not Know It

    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.

    Recommended Reading: Hepatitis A And B Symptoms

    How Is Hepatitis C Spread Will My Loved Ones Catch It From Me

    Household transmission of hepatitis C is extremely rare. Here are some ways the virus is transmitted:

  • Injecting drugs, such as heroin, even if it’s only once. The needles and other drug “works” that are used to prepare or inject the drug may have had someone else’s blood that contained HCV on them.
  • Being a health care worker with frequent contact with blood on the job, especially from accidental needlesticks.
  • Having a mother who had hepatitis C when she gave birth to you.
  • Sharing items such as razors, toothbrushes, and other personal health items that might have had blood on them.
  • Getting a tattoo with unsanitary instruments, as they might have someone else’s blood on them.
  • Having unprotected sex with multiple partners. Although hepatitis C rarely is spread through sexual contact, it can happen.
  • The number one risk factor for infection and transmission is sharing needles for intravenous drug use. Most people who use IV drugs become infected with HCV within one year of sharing needles. Learn more.

    How Do You Prevent Hepatitis C

    Researchers have yet to develop a vaccine that prevents hepatitis C .

    Just as you might not know you have hepatitis C, other people with the condition may not know they have it, either. But you can take a few key precautions to avoid contracting it:

    • Avoid sharing needles.
    • When getting piercings or tattoos, check to make sure the piercer or tattoo artist uses only sterile, unopened needles and ink.
    • Avoid sharing nail clippers, razors, and toothbrushes.
    • Use sterile gloves when caring for someone elses wound.

    Since hepatitis C is transmitted through blood, you wont get it by sharing food and drinks with someone who has the condition or by hugging, touching, or holding hands.

    Hepatitis C is not commonly transmitted through sexual contact. But using a condom or another barrier method when having sex can always help lower your chances of contracting a sexually transmitted infection.

    Keep in mind that you can contract hepatitis C again, even if youve had it already.

    Read Also: How Do People Get Hepatitis

    Can Hepatitis C Be Prevented

    There is no vaccine for hepatitis C. But you can help protect yourself from hepatitis C infection by:

    • Not sharing drug needles or other drug materials
    • Wearing gloves if you have to touch another person’s blood or open sores
    • Making sure your tattoo artist or body piercer uses sterile tools and unopened ink
    • Not sharing personal items such toothbrushes, razors, or nail clippers
    • Using a latex condom during sex. If your or your partner is allergic to latex, you can use polyurethane condoms.

    NIH: National Institute of Diabetes and Digestive and Kidney Diseases

    What Lifestyle Changes Should I Make To Help Keep My Liver Healthy

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    Besides treating your hepatitis C with prescribed medications, you should exercise, lose weight , reduce your consumption of alcohol, and refrain from using , says Nelson. You should also get the hepatitis A and B vaccines.

    The American Liver Foundation recommends that people with hepatitis C limit salt in their diet and avoid foods that are high in iron, such as spinach and red meat. And theres good news for coffee lovers: A found that drinking coffee or herbal tea may help protect the liver from scarring, so you can include a few cups of joe in your diet.

    Read Also: Latest Treatment Of Hepatitis C

    How Does Hepatitis C Affect My Liver

    Over time, hepatitis C can damage the liver and cause inflammation as well as cirrhosis or liver cancer, according to the CDC. The catch is that you may not notice the viruss effects until years or decades after you contracted it.

    The liver is an uncomplaining organ, explains Thelma King Thiel, RN, founder and chair of the Liver Health Initiative in Silver Spring, Maryland.

    Possible Complications Of Hepatitis C

    Theres one main complication of acute hepatitis C: It could become chronic.

    If you go on to develop chronic hepatitis C, you could eventually experience a number of health complications, including:

    • Cirrhosis. With cirrhosis, scar tissue gradually replaces healthy tissue in your liver, blocking blood flow and disrupting liver function. Cirrhosis can eventually lead to liver failure.
    • Liver cancer. Having chronic hepatitis C raises your risk for eventually developing liver cancer. If you develop cirrhosis or your liver is very damaged before treatment, youll still have a higher risk for cancer after getting treated.
    • Liver failure. It takes a long time for your liver to fail. Liver failure, or end-stage liver disease, happens slowly over months, often years. When your liver becomes unable to function properly, youll need a transplant.

    If you believe you contracted the hepatitis C virus, a good next step involves reaching out to a healthcare professional. Getting timely treatment can lower your risk for experiencing serious complications.

    The sooner you get a diagnosis, the sooner your healthcare professional can start a treatment plan.

    research continues.

    Currently, the best way to protect yourself from the hepatitis C virus is to avoid using any items that may have come into contact with someone elses blood.

    You can do this by:

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