How Serious Is Hepatitis C

Hepatitis C Antibody Test

Certain foreign substances that enter your body trigger your immune system to make antibodies. Antibodies are specifically programmed to only target the foreign substance they were made to fight.

If youve ever had a hepatitis C infection, your body will make hepatitis C antibodies as part of its immune response.

Your body only makes these antibodies if you have hepatitis C or had it in the past. So the hepatitis C antibody test can confirm whether you have the virus by testing for these specific antibodies.

It may take 2 to 3 months after exposure for the test to detect antibodies. If needed, your healthcare professional may order an HCV RNA test, which can detect the virus after just 1 or 2 weeks.

If the antibody test is positive, an HCV RNA test can show whether the infection is current.

While people of any gender experience the same hepatitis C symptoms, 2014 research suggested some effects of the virus may differ, depending on the sex you were assigned at birth.

Researchers noted that:

• women have a higher chance of clearing the virus without treatment
• liver disease may progress more rapidly in men
• men have a higher chance of developing cirrhosis

What Causes Hepatitis C

The hepatitis C virus causes hepatitis C. The hepatitis C virus spreads through contact with an infected persons blood. Contact can occur by

• sharing drug needles or other drug materials with an infected person
• getting an accidental stick with a needle that was used on an infected person
• being tattooed or pierced with tools or inks that were not kept sterilefree from all viruses and other microorganismsand were used on an infected person before they were used on you
• having contact with the blood or open sores of an infected person
• using an infected persons razor, toothbrush, or nail clippers
• being born to a mother with hepatitis C
• having unprotected sex with an infected person

You cant get hepatitis C from

• being coughed or sneezed on by an infected person
• drinking water or eating food
• hugging an infected person
• shaking hands or holding hands with an infected person
• sharing spoons, forks, and other eating utensils
• sitting next to an infected person

A baby cant get hepatitis C from breast milk.18

Treatment How Is Chronic Hepatitis C Treated

Each person should discuss treatment options with a doctor who specializes in treating hepatitis. This can include some internists, family practitioners, infectious disease doctors, or hepatologists . People with chronic hepatitis C should be monitored regularly for signs of liver disease and evaluated for treatment. The treatment most often used for hepatitis C is direct acting antiviral treatments.

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The Effects Of Hepatitis C On Your Body

You may have seen numerous literature and commercials about chronic hepatitis C and for good reason. According to the Centers for Disease Control and Prevention , up to 3.9 million people in the United States may have the chronic form of this virus. According to the World Health Organization , over 70 million people are affected worldwide.

What exactly is chronic HCV? In a nutshell, it refers to ongoing inflammation of your liver. But it can lead to symptoms throughout your body. Over time, living with this condition can cause your body to be especially vulnerable to serious health complications.

HCV is transmitted through contact with the blood. Its rarely transmitted through sexual contact from someone infected with the virus. Ultimately, this infection leads to liver inflammation and a host of other issues that can severely damage your health.

The virus has two stages, acute and chronic. The acute stage happens within six months of being exposed to the virus. For some, this is a short-term illness. But according to the CDC, most people about 75 to 80 percent will develop chronic HCV. This means it can be lifelong. Most people dont realize they have the virus until other symptoms within their body start.

Although the hepatitis A, B, and C viruses all cause hepatitis, they are three different and distinct viruses.

If You Notice Symptoms See A Doctor Right Away

Symptoms of hepatitis C include the following:

• Jaundice a yellowish tone to the eyes and skin
• Mild, chronic right belly pain
• Nausea
• Loss of appetite
• Fatigue

If you believe you have been exposed to hepatitis C or notice any symptoms, visit your primary care doctor as soon as possible. If you test positive for the virus, your doctor can refer you to a hepatologist to discuss your options.

“I strongly encourage all baby boomers and others who are at high risk to get tested, even if you don’t look or feel sick,” Reau says. “If you do have hepatitis C, the earlier we discover it, the more likely we can prevent it from progressing and causing more serious damage.”

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When To Seek Medical Advice

See your GP if you persistently have any of the later symptoms above, or if they keep returning. They may recommend having a blood test that can check for hepatitis C. Read more about diagnosing hepatitis C.

None of the symptoms above mean you definitely have hepatitis C, but it’s important to get them checked out.

You should also speak to your GP about getting tested if there’s a risk you’re infected, even if you don’t have any symptoms. This particularly includes people who inject drugs or have done so in the past.

Read about the causes of hepatitis C for more information about who’s at risk of having the infection.

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.

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How Is Hepatitis C Diagnosed

Symptoms alone generally dont offer enough information for a doctor to diagnose hepatitis C. Whats more, you might not have symptoms or notice any signs of the condition.

Thats why its so important to connect with a doctor or other healthcare professional and ask about getting tested if youve been exposed to the hepatitis C virus.

The also recommend hepatitis C testing for people who have abnormal liver tests, along with those who are:

• pregnant
• on hemodialysis

A healthcare professional can order a few different tests to help diagnose hepatitis C. These include:

• Blood tests. They may order a series of blood tests to check for the virus, starting with a hepatitis C antibody test. A PCR test can tell your healthcare professional whether the virus is currently active, and viral load testing can measure the amount of virus in your blood.
• Genotype test. This test can reveal which hepatitis C genotype you have. This information will help your healthcare professional find an effective treatment approach.
• Liver function test. If blood test results suggest chronic hepatitis C or your healthcare professional believes you could have liver damage, theyll order a liver function test. This test checks your blood for signs of heightened enzymes from your liver.
• Liver biopsy.This procedure can also help check for liver damage. A biopsy involves taking a small piece of tissue from your liver and testing it for cell abnormalities.

Can Hepatitis C Be Treated

Yes, since 2010 enormous progress has been made in the treatment of chronic hepatitis C. New therapies called direct-acting antivirals are pills that act on the virus itself to eradicate it from the body, unlike older medicines like interferon injections which work by stimulating an immune response. These new treatments are very effective and can achieve cure rates of over 90%. In most situations now, there is no need for interferon, which was responsible for many of the side effects previously associated with HCV treatment. The new treatment combinations require shorter treatment durations , have reduced side effects and appear to be effective at all stages of the disease.

Because these new therapies are very new, they remain very expensive. As such, drug coverage from both government and private companies may require that your liver disease has progressed to a certain stage before they are willing to cover the cost of these drugs.

Your primary care physician may refer you to a specialist to determine whether you are eligible for treatment. A specialist will help you decide which drug therapy is best for you based on the severity of your liver disease, your virus genotype and whether or not you have been treated in the past.

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Causes Of Hepatitis C

You can become infected with hepatitis C if you come into contact with the blood of an infected person.

Other bodily fluids can also contain the virus, but blood contains the highest level of it. Just a small trace of blood can cause an infection. At room temperature, it’s thought the virus may be able survive outside the body in patches of dried blood on surfaces for up to several weeks.

The main ways you can become infected with the hepatitis C virus are described below.

Who Is At Risk For Hepatitis C

You are more likely to get hepatitis C if you:

• Have injected drugs

• Pain in your abdomen
• Jaundice

If you have chronic hepatitis C, you probably will not have symptoms until it causes complications. This can happen decades after you were infected. For this reason, hepatitis C screening is important, even if you have no symptoms.

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Hepatitis C Testing And Diagnosis

Doctors will start by checking your blood for:

Anti-HCV antibodies: These are proteins your body makes when it finds the hep C virus in your blood. They usually show up about 12 weeks after infection.

It usually takes a few days to a week to get results, though a rapid test is available in some places.

The results can be:

• Nonreactive, or negative:
• That may mean you donât have hep C.
• If youâve been exposed in the last 6 months, youâll need to be retested.

If your antibody test is positive, youâll get this test:

HCV RNA: It measures the number of viral RNA particles in your blood. They usually show up 1-2 weeks after youâre infected.

• The results can be:
• Negative: You donât have hep C.
• Positive: You currently have hep C.

You might also get:

Liver function tests: They measure proteins and enzyme levels, which usually rise 7 to 8 weeks after youâre infected. As your liver gets damaged, enzymes leak into your bloodstream. But you can have normal enzyme levels and still have hepatitis C. Learn the reasons why you should get tested for hepatitis C.

How Common Is Chronic Hepatitis C In The United States

An estimated 3.2 million persons in the United States have chronic hepatitis C virus infection. Most people do not know they are infected because they dont look or feel sick. In 2013, hepatitis C-related mortality surpassed the total combined number of deaths from 60 other infectious diseases reported to CDC, including HIV, pneumococcal disease, and tuberculosis.

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Hiv And Hepatitis C Coinfection

HCV infection is common among people with HIV who also inject drugs. Nearly 75% of people living with HIV who report a history of injection drug use are co-infected with HCV. All people who are diagnosed with HIV are recommended to be tested for HCV at least once. People living with HIV are at greater risk for complications and death from HCV infection. Fortunately, direct acting antivirals that are used to treat HCV work equally well in people with and without HIV infection. For more information about HIV and HCV coinfection, visit the HIV.govs pages about hepatitis C and HIV coinfection.

How Can I Cover Medication Costs

New therapies called direct-acting antivirals are effective and can achieve cures of over 90%. Because these new therapies are very new, they remain very expensive. As such, drug coverage from both government and private companies may require that your liver disease has progressed to a certain stage before they are willing to cover the cost of these drugs.

Talk with your healthcare provider about financial support that may be available.

Below are useful resources when looking for financial assistance:Private health insurance or drug plansIf you have private health insurance or a drug plan at work, you may be able to have the medication paid through your plan. Please consult your private health insurance or drug plan provider to see if your drug is covered.

Publicly funded plansEach provincial and territorial government offers a drug benefit plan for eligible groups. Some are income-based universal programs. Most have specific programs for population groups that may require more enhanced coverage for high drug costs. These groups include seniors, recipients of social assistance, and individuals with diseases or conditions that are associated with high drug costs. For more details, please contact your provincial or territorial health care ministry, or click on the appropriate link below.

Yukon

Available Patient Assistance Programs for Hepatitis C treatment Holkira Pak Maviret

MerckCare Hepatitis C Program 1 872-5773 Zepatier

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What Do You Do If You Become Ill

Talk to your health care provider about getting tested if you think you:

• are at risk
• may have hepatitis C

If you have hepatitis C, tell those who may have been exposed to your blood or bodily fluids. They should get tested and be treated if necessary. Bodily fluids, like semen and vaginal fluid, are a concern because they could be carrying small amounts of infected blood.

Some adults with hepatitis C will recover from the disease on their own within 6 months. Until your health care provider confirms your recovery status, you are still contagious and can spread the disease.

After recovery, you are no longer contagious because you will not have the disease anymore. But you can get hepatitis C again.

Unfortunately, most adults with hepatitis C:

• cannot recover on their own
• develop a more serious form of the disease if they are sick for longer than 6 months

Can You Prevent Hepatitis C Infection

Thereâs no vaccine to prevent hepatitis C. To avoid getting the virus:

• Use a latex condom every time you have sex.
• Don’t share personal items like razors.
• Don’t share needles, syringes, or other equipment when injecting drugs.
• Be careful if you get a tattoo, body piercing, or manicure. The equipment may have someone else’s blood on it.

Find out more on how to prevent hepatitis C.

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Should I Be Screened For Hepatitis C

Doctors usually recommend one-time screening of all adults ages 18 to 79 for hepatitis C. Screening is testing for a disease in people who have no symptoms. Doctors use blood tests to screen for hepatitis C. Many people who have hepatitis C dont have symptoms and dont know they have hepatitis C. Screening tests can help doctors diagnose and treat hepatitis C before it causes serious health problems.

It’s Different Than Hepatitis A And B

Each form of hepatitis has its own specific virus that spreads and is treated differently. “Hepatitis simply means inflammation of the liver, or that the virus has an affinity for hurting the liver,” Reau says.

• Hepatitis A is an acute, short-term infection that often does not require treatment.
• Hepatitis B hides deep in the body and, like hepatitis C, is treated in a variety of ways, from antiviral medications to liver transplants.

“The viruses are different, but all of them should be taken very seriously since they can lead to significant liver disease and even death,” she adds.

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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.

Common Symptoms Of Hav And Hcv

HAV has an incubation period of 15 to 50 days. Most of the time, the symptoms begin around the 28th day. HCV has an incubation period of 14 to 80 days, but the symptoms become noticeable in about 45 days on average.

The symptoms of hepatitis A and C are the same. They include:

• nausea
• joint pain
• yellowing of the skin and eyes, or jaundice

HAV causes an acute infection. The symptoms last a few weeks to a few months, but HAV never becomes chronic.

HCV can also be an acute infection. When it lasts more than six months, doctors consider it to be a chronic condition that can cause serious complications. Over a span of 20 to 30 years, chronic HCV can cause scarring of the liver, or cirrhosis. This makes it hard for your liver to do its job. HCV increases your risk of developing liver cancer or liver failure. The symptoms are generally worse for people who also have HIV.

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