Definition

Hepatitis C is an infection of the liver. The hepatitis C virus (HCV) causes it.

Hepatitis

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Causes

The hepatitis C virus is spread through contact with the blood of an infected person.

A woman with hepatitis can pass the virus on to her baby during birth. The hepatitis C virus is not spread through food or water.

Risk Factors

Factors that increase your chance of this infection:

• Injecting illicit drugs, especially with shared needles
• Receiving a blood transfusion before 1992—this risk is very low in the United States.
• Receiving blood clotting products before 1987
• Receiving an HCV-infected organ transplant
• Long-term kidney dialysis treatment
• Sharing toothbrushes, razors, nail clippers, or other personal hygiene items that have HCV-infected blood on them
• Being accidentally stuck by an HCV-infected needle—a concern for healthcare workers
• Frequent contact with HCV-infected people—a concern for healthcare workers
• Tattooing
• Body piercing
• Having sex with partners who have hepatitis C or other sexually transmitted diseases—this is most common in men who have sex with men.

Symptoms

Eighty percent of people with hepatitis C have no symptoms. Over time, the disease can cause serious liver damage.

Symptoms may include:

• Fatigue
• Loss of appetite
• Jaundice (yellowing of the eyes and skin)
• Darker colored urine
• Loose, light, or chalky colored stools
• Abdominal pain
• Aches and pains
• Itching
• Hives
• Joint pain
• Cigarette smokers may suddenly dislike the taste of cigarettes
• Nausea
• Vomiting

Chronic hepatitis C may cause some of the above symptoms, as well as:

• Weakness
• Severe fatigue
• Loss of appetite

Serious complications of hepatitis C include:

• Chronic infection that will lead to cirrhosis (scarring) and progressive liver failure
• Increased risk of liver cancer

Diagnosis

Your doctor will ask about your symptoms and medical history. A physical exam will be done. You will also discuss your risk factors.

Tests may include:

• Blood tests—to look for hepatitis C antibodies or genetic material from the virus (antibodies are proteins that your body has made to fight the hepatitis C virus)
• Liver function studies— to initially determine and follow how well your liver is functioning
• Ultrasound of the liver—to assess liver damage
• Liver biopsy —removal of a sample of liver tissue to be examined

Treatment

Hepatitis C is usually treated with combined therapy, consisting of:

• Interferon—given by injection
• Ribavirin —given orally
• Protease inhibitor

These medicines can cause difficult side effects. They also have limited success rates.

In unsuccessful cases, chronic hepatitis C can cause cirrhosis and serious liver damage. A liver transplant may be needed, although it does not typically cure hepatitis C.

If you are diagnosed with hepatitis C, follow your doctor's instructions .

Prevention

To prevent becoming infected with hepatitis C:

• Do not inject illicit drugs. Shared needles have the highest risk. Seek help to stop using drugs.
• Do not have sex with partners who have sexually transmitted diseases (STDs).
• Practice safe sex (using latex condoms) or abstain from sex.
• Limit your number of sexual partners.
• Do not share personal items that might have blood on them, such as:
  • Razors
  • Toothbrushes
  • Manicuring tools
  • Pierced earrings
• Avoid handling items that may be contaminated by HCV-infected blood.
• Donate your own blood before elective surgery to be used if you need a blood transfusion.

To prevent spreading hepatitis C to others if you are infected:

• Tell your dentist and physician before receiving check-ups or treatment.
• Get both a hepatitis A and hepatitis B vaccination.
• Do not donate blood or organs for transplant.