The Early Signs Of Hepatitis C

When To Seek Medical Advice

See your GP if you persistently have any of the later symptoms listed, 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 these symptoms 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.

Page last reviewed: 27 October 2021 Next review due: 27 October 2024

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.

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Diagnosis Of Hepatitis C

If you are at risk of hepatitis C infection, or think you may have been exposed to hepatitis C in the past, see your doctor for an assessment of your liver health. This will include blood tests and possibly a non-invasive test for liver damage .

There are 2 blood tests used to diagnose hepatitis C. Usually these can be done at the same time but sometimes they will be done separately.

The first test known as a hepatitis C antibody test can tell you whether you have ever been exposed to hepatitis C.

It may take 2 to 3 months from the time of infection until a blood test can detect antibodies to hepatitis C, so there is a window period during which you cannot tell if you are or have been infected. In this time, take precautions to prevent the potential spread of the virus.

The second test is called hepatitis C PCR, which will be done if the antibody test is positive. This determines if the virus is still present in your blood or liver or if you have already cleared the infection.

If you have cleared the virus or had successful treatment to cure it, the PCR test will be negative.

A liver ultrasound or Fibroscan can also be performed to assess if you have any liver damage.

If your doctor is inexperienced in diagnosing hepatitis C you can call the LiverLine on for information, and to find a GP who can help you.

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Treatment Of Hepatitis C

Hepatitis C is treated with antiviral medications that aim to clear the virus from your body.

New all-tablet treatments have greatly improved the outcomes for people with hepatitis C. These treatments can cure more than 95% of individuals with chronic hepatitis C. There are several new tablets that are used in combination to treat all hepatitis C strains . They are effective for people with no liver damage and those who have more advanced liver damage or cirrhosis.

These new tablet medications are available and subsidised on the Pharmaceutical Benefits Scheme, and can be prescribed by specialists, general practitioners and specialised nurse practitioners.

There are no restrictions on accessing treatment it is available for all adults with a Medicare card. People under 18 are able to access treatment and it is recommended they are referred to a pediatrician experienced in the treatment of hepatitis C.

For more information on the new medications for the treatment of hepatitis C, see our video: Hepatitis C Cure what it means for Victorians.

If your doctor does not know about the new treatments, you can call the LiverLine on for information, and to find a GP who can help you.

Talk with your doctor about treatment options and the potential for interactions with other medications, herbal preparations and other drugs. If you take prescribed medication this will be managed so you can access treatment.

In general, if you have hepatitis C you will feel better if you:

The Early Signs And Symptoms Of Hepatitis C

Hepatitis is a type of inflammation that occurs in the liver. The ailment is most commonly caused by the hepatitis C virus. However, it could be caused by infection, toxins, medication, or autoimmune processes. If not detected during the early stages, it can become serious. But most people do not experience any symptoms, which is why it is hard to detect. Listed below are some of the most common symptoms of hep C.

1. Early signs and symptoms of Hepatitis CAcute hepatitis can lead to a plethora of distressing symptoms. Many times, the symptoms are similar to that of the flu. A lot of people may not exhibit any symptoms at all.

The common symptoms of hep C include: fever fatigue nausea and vomiting pain in the belly dark urine and/or clay-colored stool jaundice, most commonly characterized by yellowish tinted skin and eyes loss of appetite pain in the joints. These symptoms can be experienced between 2 and 12 weeks after exposure to the virus. In case one experiences any of these symptoms, it is advisable to seek professional help immediately.

2. Chronic Hepatitis C SymptomsIf a persons condition does not get diagnosed and treated, they could have Hepatitis C for years without even knowing it. Doctors often term this condition as chronic as it lasts for a long time. People who have it for a long time usually end up getting liver cancer or scarring of the liver, known as cirrhosis.

most

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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

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How Can I Prevent Spreading Hepatitis C To Others

If you have hepatitis C, follow the steps above to avoid spreading the infection. Tell your sex partner you have hepatitis C, and talk with your doctor about safe sex practices. In addition, you can protect others from infection by telling your doctor, dentist, and other health care providers that you have hepatitis C. Dont donate blood or blood products, semen, organs, or tissue.

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Symptoms Of Hepatitis C In Women

Many women dont have symptoms until the disease is in a later stage. Women who have signs of the disease in the earliest stage may brush off symptoms or attribute them to other factors, such as anemia, depression, or menopause.

Early symptoms of hepatitis C in women can include:

• fatigue
• muscle and joint pain
• poor appetite

Some hepatitis C infections are acute and the infection clears or improves on its own without treatment within a few months. Acute infections are more common in women .

Hepatitis C can also be chronic, meaning the infection doesnt clear on its own, but rather progresses and damages the liver. Symptoms of chronic hepatitis and liver damage include:

• bruising or bleeding
• spider veins
• confusion

The symptoms of chronic hepatitis C occur in both men and women, but the disease can progress slower in women. However, some women experience rapid progression of the disease and liver damage after menopause.

Having these symptoms doesnt mean you have hepatitis C.

Hepatitis C spreads from person-to-person through contact with infected blood. If you work in an industry where you might come in contact with blood, theres a slight risk of exposure. This includes personal care such as:

• manicurists

Causes And Risk Factors

HCV causes hepatitis C. People contract the virus through blood-to-blood contact with contaminated blood. For transmission to occur, blood containing HCV must enter the body of a person without HCV.

A speck of blood, invisible to the naked eye, can carry hundreds of hepatitis C virus particles, and the virus is not easy to kill.

The report the following risk factors for developing hepatitis C:

• using or having used injectable drugs, which is currently the most common route in the U.S.
• receiving transfusions or organ transplants before 1992, which is before blood screening became available
• having exposure to a needle stick, which is most common in people who work in healthcare
• being born to a mother who has hepatitis C

The CDC offer advice on cleaning syringes if it is not possible to use clean and sterile ones. Although bleach can kill the HCV in syringes, it may not have the same effect on other equipment. Boiling, burning and using alcohol, peroxide, or other common cleaning fluids to wash equipment can reduce the amount of HCV but might not stop a person from contracting the infection.

It is extremely dangerous to inject bleach, disinfectant, or other cleaning products, so people should make sure they rinse the syringe thoroughly. A person should only ever use bleach to clean equipment if new, sterile syringes and equipment are not available.

People who are at risk due to these factors can have screening to rule out HCV.

• peginterferon alfa-2a
• sofosbuvir

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Hepatitis C And Injecting Drugs

If you inject drugs, avoid sharing needles, syringes or other equipment such as tourniquets, spoons, swabs or water.

Where possible, always use sterile needles and syringes. These are available free of charge from needle and syringe programs and some pharmacists. To find out where you can obtain free needles, syringes and other injecting equipment, contact DirectLine

Try to wash your hands before and after injecting. If you cant do this, use hand sanitiser or alcohol swabs from a needle and syringe program service.

Hepatitis C And Blood Spills

When cleaning and removing blood spills, use standard infection control precautions at all times:

• Cover any cuts or wounds with a waterproof dressing.
• Wear single-use gloves and use paper towel to mop up blood spills.
• Clean the area with warm water and detergent, then rinse and dry.
• Place used gloves and paper towels into a plastic bag, then seal and dispose of them in a rubbish bin.
• Wash your hands in warm, soapy water then dry them thoroughly.
• Put bloodstained tissues, sanitary towels or dressings in a plastic bag before throwing them away.

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Hepatitis C Symptoms & Treatment

FAST FACTS:

• Hepatitis C is found in infected blood. It is also rarely found in semen and vaginal fluids.

• Hepatitis C is mainly passed on through using contaminated needles and syringes or sharing other items with infected blood on them. It can also be passed on through unprotected sex, especially when blood is present.

• You can prevent hepatitis C by never sharing needles and syringes, practising safer sex, and avoiding unlicensed tattoo parlours and acupuncturists.

• Hepatitis C will often not have any noticeable symptoms, but a simple blood test carried out by a healthcare professional will show whether you have hepatitis C.

• In the early stages, some peoples bodies can clear a hepatitis C infection on their own, others may develop chronic hepatitis C and will need to take antiviral treatment to cure the infection.

• Without treatment, chronic hepatitis C can lead to permanent liver damage.

Hepatitis C is part of a group of hepatitis viruses that attack the liver.

Its mainly passed on through contaminated needles, either from injecting drugs or from needle stick injuries in healthcare settings. It can also be transmitted sexually, especially during anal sex or other types of sex that may involve blood.

Some groups are more at risk of getting hepatitis C than others, including people who use drugs, people in prisons, men who have sex with men, health workers and people living with HIV.

How Is Hepatitis C Spread

Hepatitis C spreads through contact with the blood of someone who has HCV. This contact may be through:

• Sharing drug needles or other drug materials with someone who has HCV. In the United States, this is the most common way that people get hepatitis C.
• Getting an accidental stick with a needle that was used on someone who has HCV. This can happen in health care settings.
• Being tattooed or pierced with tools or inks that were not sterilized after being used on someone who has HCV
• Having contact with the blood or open sores of someone who has HCV
• Sharing personal care items that may have come in contact with another person’s blood, such as razors or toothbrushes
• Being born to a mother with HCV
• Having unprotected sex with someone who has HCV

Before 1992, hepatitis C was also commonly spread through blood transfusions and organ transplants. Since then, there has been routine testing of the U.S. blood supply for HCV. It is now very rare for someone to get HCV this way.

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Genotyping And Serotyping Of Hcv

Hepatitis C genotyping is helpful in defining the epidemiology of hepatitis C, but on an individual patient basis, genotyping is crucial in regard to treatment recommendations and duration. Genotyping is based on sequence analysis by sequencing or reverse hybridization. Although viral load can vary within a 0.5- to 1-log range, HCV genotype does not change during the course of infection. In case of suspected superinfection, another genotype might rarely be detected. For reliable genotyping, 5URT alone is insufficient, including parts of the core sequence enhance genotyping reliability. Sequencing of NS5b is the gold standard.

Serotyping is the only other option to test for the type of HCV in cases of remote infection. This, however, is relevant for epidemiologic studies only and is not used clinically.

Andrea D. Branch, in, 2004

How Do You Get Hepatitis C

Hepatitis C spreads when blood or body fluids contaminated with the hepatitis C virus get into your bloodstream through contact with an infected person.

You can be exposed to the virus from:

• Sharing injection drugs and needles
• Having sex, especially if you have HIV, another STD, several partners, or have rough sex
• Being stuck by infected needles
• Birth a mother can pass it to a child
• Sharing personal care items like toothbrushes, razor blades, and nail clippers
• Getting a tattoo or piercing with unclean equipment

You canât catch hepatitis C through:

• Have been on long-term kidney dialysis
• Have abnormal liver tests or liver disease
• Have HIV
• Were born to a mother with hepatitis C

Since July 1992, all blood and organ donations in the U.S. are tested for the hepatitis C virus. The CDC says it is now rare that someone getting blood products or an organ would get hepatitis C. That said, The CDC recommends that anyone over the age of 18 get tested for Hepatitis C. If you havent been screened, you should consider having it done.

Learn more about the risk factors for hepatitis C.

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What Are The Different Stages Of Hepatitis C

There are three stages of hepatitis C: early, chronic, and final. Many people in the early hepatitis C stages do not even realize they have the disease because there are occasionally no symptoms, or the symptoms are so mild that people believe they are sick with the flu. Chronic hepatitis C occurs when people are unable to get rid of hepatitis C and it becomes an ongoing problem. In the final stage of hepatitis C, liver failure often occurs, which sometimes leads to death. There are many people in the early stages of hepatitis C who go for as long as 20 years before they experience any serious, life-threatening symptoms.

The most common symptoms people experience during the early stages of hepatitis C are vomiting, joint aches, and fever. Sometimes these symptoms are also accompanied by a yellowing of the skin and whites of the eyes, also known as jaundice. People with hepatitis C may additionally notice that their urine is darker in color than normal and that their skin is unusually itchy. Many people who get hepatitis C are able to fight it off and never have any further problems with the disease, but some people go on to develop chronic hepatitis C, which is the second stage of the illness. People who are in the beginning stages of hepatitis C do not always require treatment if the illness goes away on its own.

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