Staying Healthy With Hepatitis
Not everyone needs treatment right away, but its important to be monitored regularly by an experienced doctor and discuss treatment options of the best way to keep you healthy.
- Get vaccinated against Hepatitis A and Hepatitis B
- Avoid alcohol and drugs
- Eat a healthy & balanced diet. Include a lot of vegetables and fruits try to stay away from too much salt, sugar and fat.
- Exercise regularly. Walking is one of the best exercises, and it helps to make you feel less tired.
- Check with a health professional before taking any prescription pills, supplements, or over-the-counter medications.
- Do not share razors, nail clippers, needles or other items that come in contact with blood with other people.
Sharing Of Household Items
Very low risk
It is very rare for hep C to be transmitted through the use of household items, but it is best not to share razor blades, tweezers and toothbrushes. Brushing your teeth can cause bleeding gums, so sharing your toothbrush can cause blood-to-blood contact. Razor blades and tweezers can also possibly lead to blood-to-blood contact between people .
How Do Doctors Treat The Complications Of Hepatitis C
If hepatitis C leads to cirrhosis, you should see a doctor who specializes in liver diseases. Doctors can treat the health problems related to cirrhosis with medicines, surgery, and other medical procedures. If you have cirrhosis, you have an increased chance of liver cancer. Your doctor may order an ultrasound test to check for liver cancer.
If hepatitis C leads to liver failure or liver cancer, you may need a liver transplant.
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Sharing Or Reusing Other Peoples Needles Syringes And Injecting Equipment
Very high to high risk
The highest risk for contracting hep C comes from sharing any needles and syringes with other people. Even if you injected just once a long while ago you may have been at risk of getting hep C. This includes sharing needles and syringes when using drugs, steroids or anything else.
Aside from needles and syringes, all equipment used to prepare for the injection can spread hep C. This includes spoons, filters, water, tourniquets and swabs. Even tiny amounts of blood that cannot be seen by the naked eye can contain the virus .
How Long Before I Have Symptoms
Many people have mild symptoms or no symptoms, which is why hepatitis is sometimes called a âsilentâ disease.
Hepatitis A. The symptoms usually show up 2 to 6 weeks after the virus entered your body. They usually last for less than 2 months, though sometimes you can be sick for as long as 6 months.
Some warning signs that you may have hepatitis A are:
Hepatitis B. The symptoms are the same as hepatitis A, and you usually get them 3 months after you’re infected. They could show up, though, anywhere from 6 weeks to 6 months later.
Sometimes the symptoms are mild and last just a few weeks. For some people, the hep B virus stays in the body and leads to long-term liver problems.
Hepatitis C. The early symptoms are the same as hepatitis A and B, and they usually happen 6 to 7 weeks after the virus gets in your body. But you could notice them anywhere from 2 weeks to 6 months later.
For about 25% of people who get hep C, the virus goes away on its own without treatment. In other cases, it sticks around for years. When that happens, your liver might get damaged.
Remember, it’s possible to spread all the types of hepatitis even if you don’t show any signs of being sick.
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How Serious Is It
- People can be sick for a few weeks to a few months
- Most recover with no lasting liver damage
- Although very rare, death can occur
- 15%25% of chronically infected people develop chronic liver disease, including cirrhosis, liver failure, or liver cancer
- More than 50% of people who get infected with the hepatitis C virus develop a chronic infection
- 5%-25% of people with chronic hepatitis C develop cirrhosis over 1020 years
Chronic Phase Of Hepatitis C
When infection with hepatitis C lasts for longer than six months, it is known as chronic hepatitis C infection. The course of the chronic infection varies considerably between people and it is very unpredictable. Of those people who develop chronic infection:
- Some people have mild or no symptoms. However, even if you have no symptoms, you can still pass on HCV to others who may develop problems.
- Some people develop some symptoms due to persistent inflammation of the liver. For example, feeling sick, lack of appetite, intolerance of alcohol, pains over the liver, jaundice and depression. The most common symptoms of chronic hepatitis C are extreme tiredness, poor concentration and memory problems, and muscle and joint aches. There is actually no relationship between the severity of symptoms and the degree of liver damage. This means that some people can have liver inflammation without having any symptoms.
- About one third of people with chronic hepatitis C infection develop cirrhosis over a period of about 20-30 years. Cirrhosis is like a ‘scarring’ of the liver, which can cause serious problems and ‘liver failure’ when it is severe. See the separate leaflet called Cirrhosis. Some people with chronic hepatitis C have no symptoms for many years until they develop cirrhosis. Only when the liver starts to fail with cirrhosis do symptoms appear.
- A small number of people who develop cirrhosis go on to develop liver cancer.
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How Is Hepatitis C Transmitted
The way the virus does spread is through contact with the blood of someone who is infected. Most commonly, this occurs through one of the following methods.
Intravenous drug usePeople who share needles or other supplies while injecting drugs like cocaine and heroin have a high risk for contracting hepatitis C. Even if you only used these types of drugs once years ago, there is still a chance you are infected.
Needlestick injuriesHealth care or other safety workers may come into contact with an infected persons blood if theyre accidentally stuck with a contaminated needle or other sharp object. Parents often worry about their children developing hepatitis C after finding a needle on the ground or at the beach. While thats possible, its unlikely, Dr. Nachman saysthe most commonly discarded needles are insulin needles, which typically dont contain enough blood to transmit hepatitis C. Plus, the virus can only survive about a day outside of the body.
Medical proceduresNow, donated blood and organs are screened for the hepatitis C virus. However, before 1992, that wasnt the case, so people who received blood transfusions or an organ transplant before that time might have become infected.
Tattoos and piercingsThese days, licensed and regulated tattoo parlors dont pose much of a danger. However, piercings or tattoos received in unregulated settings, such as prisons, may spread hepatitis C, Dr. Kodali says.
Who Should Be Tested
Testing for hepatitis A is not routinely recommended.
CDC recommends hepatitis B testing for:
- Men who have sex with men
- People who inject drugs
- Household and sexual contacts of people with hepatitis B
- People requiring immunosuppressive therapy
- People with end-stage renal disease
- People with hepatitis C
- People with elevated ALT levels
- Pregnant women
- Infants born to HBV-infected mothers
CDC recommends hepatitis C testing for:
- All adults aged 18 years and older
- All pregnant women during each pregnancy
- About 24,900 new infections each year
- About 22,600 new infections in 2018
- Estimated 862,000 people living with hepatitis B
- About 50,300 new infections in 2018
- Estimated 2.4 million people living with hepatitis C
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What Happens After A Positive Hiv Test
After a client receives a positive HIV test result, the result is reported to public health. A positive result initiates a series of processes to support the care of the client, to identify recent partners who may benefit from testing, and to prevent onward transmission.
Public Health notification
HIV is a reportable, or notifiable, illness in all Canadian provinces and territories except for Quebec1. This means that when an HIV infection is confirmed by a clinic, doctor or laboratory, it is reported to public health authorities . Each province and territory has public health laws that stipulate specific requirements for reporting HIV diagnoses. HIV is a reportable disease because it is considered to be of significant importance to public health.
The amount of information collected and shared with public health varies according to each province or territory. However, all provinces and territories provide non-nominal data on positive tests to the Public Health Agency of Canada, which facilitates the production of national-level reports on the state of the HIV epidemic in Canada.
HIV partner notification, or contact tracing, is the practice of identifying, locating and informing someone that a partner they have had sex or used drugs with has been diagnosed with HIV. Contact tracing is meant to encourage the partners to test for HIV to identify new HIV infections as early as possible.
Linkage to prevention and care
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 Do You Get Hepatitis A
The main way you get hepatitis A is when you eat or drink something that has the hep A virus in it. A lot of times this happens in a restaurant. If an infected worker there doesn’t wash their hands well after using the bathroom, and then touches food, they could pass the disease to you.
Food or drinks you buy at the supermarket can sometimes cause the disease, too. The ones most likely to get contaminated are:
- Ice and water
Another way you can get hep A is when you have sex with someone who has it.
Prevention Is The Best Medicine
Even though hepatitis C rarely spreads within a household, if you or a family member have the disease, it’s wise to take precautions to prevent its spread especially if anyone in your home is immune compromised, or has cuts or open sores that increase the risk of infection.
In general, use these common sense preventive tips:
- Unless you are in a long-term, monogamous relationship, practice safe sex.
- Clean up spilled or dried blood with a bleach-based cleaning solution and wear rubber gloves.
- Do not share razors.
- Do not share toothbrushes. “Though hepatitis C is not transmitted through saliva, there might be blood on the toothbrush,” Reau says.
Note that hepatitis C is not transmitted by sharing eating utensils, hugging, kissing, coughing or sneezing.
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What Are The Treatments For Hepatitis C
Treatment for hepatitis C is with antiviral medicines. They can cure the disease in most cases.
If you have acute hepatitis C, your health care provider may wait to see if your infection becomes chronic before starting treatment.
If your hepatitis C causes cirrhosis, you should see a doctor who specializes in liver diseases. Treatments for health problems related to cirrhosis include medicines, surgery, and other medical procedures. If your hepatitis C leads to liver failure or liver cancer, you may need a liver transplant.
Is Liver Transplantation An Option For A Person With Hepatitis C
Hepatitis C is the leading reason for 40% to 45% of liver transplants in the U.S. Hepatitis C usually recurs after transplantation and infects the new liver. Approximately 25% of these patients with recurrent hepatitis will develop cirrhosis within five years of transplantation. Despite this, the five-year survival rate for patients with hepatitis C is similar to that of patients who are transplanted for other types of liver disease.
Most transplant centers delay therapy until recurrent hepatitis C in the transplanted liver is confirmed. Oral, highly effective, direct-acting antivirals have shown encouraging results in patients who have undergone liver transplantation for hepatitis C infection and have recurrent hepatitis C. The choice of therapy needs to be individualized and is rapidly evolving.
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Why Getting Tested Is Important
A blood test is one of the only ways to confirm a diagnosis of hepatitis C. Additionally, hepatitis C often has no visible symptoms for many years.
Because of this, its important to be tested if you believe youve been exposed to the virus. Getting a timely diagnosis can help ensure you receive treatment before permanent liver damage occurs.
Medical Care Overseas Or Blood Transfusions In Australia Prior To 1990
Moderate to low risk
In some developing countries, the blood used for transfusions is not properly screened for hep C. Surgical equipment may also not be well sterilised, which means theres a risk it could transmit hep C.
In Australia, the blood used for transfusions has been screened for hep C since 1990 and is very safe. There is a very low risk in Australia that some procedures involving blood may be performed by workers who do not have a good understanding of sterile procedure and infection control .
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Getting Tested For Hepatitis C
Seek medical advice if you have persistent symptoms of hepatitis C or there’s a risk you’re infected, even if you do not have any symptoms.
A blood test can be carried out to see if you have the infection.
GPs, sexual health clinics, genitourinary medicine clinics or drug treatment services all offer testing for hepatitis C.
Early diagnosis and treatment can help prevent or limit any damage to your liver, as well as help ensure the infection is not passed on to other people.
What Information Is Collected When Someone Has An Hiv Test
Non-identifying information collected when a person has an HIV test may include age, sex, city of residence, name of the diagnosing healthcare provider, country of birth, ethnicity, and information detailing the HIV-related risk factors of the person being tested.
Whether the name of the person being tested is collected is determined by the testing option: nominal , non-nominal , or anonymous testing. Nominal and non-nominal testing are widely available in Canada. Anonymous HIV testing is available in some, but not all, provinces.
Nominal testing, or name-based testing, is available across Canada and often takes place within clinics, offices of healthcare providers and hospitals. When a person has a nominal HIV test, the HIV test is ordered using the persons name. If the test is positive, the result is reported to public health authorities using the persons name and the test result is also recorded in the healthcare record of the person being tested.
Non-nominal, or non-identifying testing, is also available across Canada and often takes place within clinics and offices of healthcare providers. If a person has a non-nominal HIV test, the HIV test is ordered using a code or the persons initials or an alias , not their full or partial name. If the test is positive, the result is reported to public health using the persons name in most provinces. The test result is also recorded in the healthcare record of the person being tested.
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Keep Personal Items Personal
Any tools or implements that may have a bit of blood on them from infected people are potential sources of hepatitis B or C transmission. Toothbrushes, nail clippers, razors, needles, and washcloths may all contain trace amounts of blood that can transmit infection. Keep personal items such as these to yourself and never use personal items that belong to others.
Giving Blood And Organ Donation
If you have hepatitis C, you cannot give blood.
In a recent research study in America kidneys from people with hepatitis C who had died were transplanted into patients who did not have the virus.
All of the recipients subsequently contracted hepatitis C but were treated for it and all were cured. The benefit of receiving a kidney outweighed the risk of not clearing hepatitis C.
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Breastfeeding Extremely Low Risk
Extremely low risk
Breastfeeding does not spread hep C, and the virus is not transmitted through breast milk. However, because hep C is spread by blood, if your nipples are cracked and bleeding, you should stop nursing temporarily on that breast and consult a midwife. Mothers are strongly encouraged to breastfeed whether or not they have hep C .
Articles On Hepatitis C
If you’ve just been diagnosed with hepatitis C, you may wonder how you got it and worry about passing on the virus to a loved one. If you’ve had the disease for a long time without knowing it, you could dwell on every little incident in the past where you might have accidentally exposed a family member to the disease.
It’s important to remember that hepatitis C isn’t easy to catch. If you take a few precautions, it’s almost impossible to pass on the disease to someone else.
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