Hepatitis C

What is Hepatitis C?

Hepatitis C, a liver infection caused by the hepatitis C virus, silently affects 2.4 million Americans. Most remain unaware, as symptoms often go unnoticed. This stealthy virus, primarily spread through blood or body fluids, primarily takes the form of type 1 in the U.S., with varying treatment responses.
The Stages of a Hidden Battle:
The Hepatitis C journey unfolds in stages:

Incubation: A silent period of 14 to 80 days (average 45) after exposure.

Acute Phase: A temporary illness during the first 6 months, where some may spontaneously clear the virus.

Chronic Phase: For most (85%), the virus persists beyond 6 months, potentially leading to severe complications like liver cancer or cirrhosis.

Cirrhosis: Over time, inflammation scars the liver, taking 20-30 years on average but potentially faster with alcohol or HIV.

Liver Cancer: Cirrhosis increases the risk, necessitating regular screening due to early stage symptom scarcity.

What are causes of 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

Sexual contact

Needle sticks

Mother-to-child transmission

Sharing personal item

Unclean tattoo or piercing tools

What are symptoms of Hepatitis C?

Many people with hepatitis C have no symptoms. But between 2 weeks and 6 months after the virus enters your bloodstream, you could notice:

Clay-colored poop

Dark urine

Fever

Fatigue

Jaundice

Joint pain

Loss of appetite

Nausea

Stomach pain

Vomiting

Symptoms usually last for 2 to 12 weeks

How to diagnose Hepatitis C?

Anti-HCV antibodies
If your antibody test is positive, you’ll get this test:
HCV RNA
The results can be:

Negative: You don’t have hep C.

Positive: You currently have hep C.

Liver function tests

How to treat Hepatitis C?

While early Hepatitis C infection, known as acute hepatitis C, currently lacks recommended treatment, its transition to chronic form brings various medication options to the table such as:

Zepatier

Mavyret

Harvoni

Sovaldi

Epclusa

Vosevi

“Thank you for visiting Gastroenterology & Liver Disease, my goal is to treat my patients in a highly personalized manner and I am dedicated to give you the utmost attention and respect that you deserve. For more infromation on this disease or to schedule a consultation with me, please give us a call or book a tele-health appointment online.”

Albert Shalomov

Dr. Albert Shalomov, MD