Key Things to Know About Hepatitis C

The hepatitis C virus primarily causes inflammation in the liver, and it affects an estimated 58 million people around the world. The hepatitis C infection can be chronic or acute, depending on the progression of the disease. This is one of the few viral infections that does not have a vaccination yet. However, it is possible to identify the signs, understand risk factors, and learn about preventive measures and treatments to manage the condition better.
Causes and risk factors
Hepatitis C spreads through contact, and a person can get infected in multiple ways. The infection from an already affected person can spread after coming in contact with their blood— through an organ transplant or by sharing personal grooming items. It is possible to contract the virus even while getting a tattoo if infected needles are used. Also, engaging in unprotected physical contact or mothers passing down the infection to the fetuses are possible modes of transmission. Earlier, there was also an elevated risk of contracting the virus through blood transfusion carried out for surgical procedures. However, it is not possible to transmit the virus by sharing food or coughing and sneezing. The transmission is also unlikely when an infected mother nurses a child. Any form of regular skin-to-skin contact does not cause the infection to spread.
Common symptoms
Symptoms of hepatitis C are broadly classified as chronic or acute depending on the progression of the disease. Acute hepatitis C takes up to 6 months to develop after one comes in contact with the virus. But the following symptoms may start to show up as early as two weeks after the affected person has been exposed:
Pain: Joint pain or stomach aches are common discomforts during the initial stages of the disease.
Fever: One may develop random bouts of fever as the virus starts affecting the immune system.
Changes in appearance: One can observe visible color changes in the eye where the white portion turns yellow. This change could also be seen in the skin, indicating jaundice risk as the disease progresses. The infection could also result in a rash or swelling and trigger irritations or lesions on the skin.
Nausea and fatigue: A persistent feeling of nausea, fatigue, and unexplained loss of appetite are all common signs of hep C infection.
Changes in bowel movement: Dark urine or pale gray stools can indicate that the infection is spreading rapidly.
Anywhere between 55% and 85% of people who contract the hepatitis C virus (HCV) tend to develop chronic hepatitis C. The symptoms will be similar to those experienced during the acute phase of the infection and will develop with increased intensity. With chronic hepatitis C, one is at a major risk of developing liver complications that trigger indigestion, swelling in the feet, skin problems, and cognitive problems affecting memory and concentration. At any point, if the symptoms begin to progress rapidly or cause unbearable discomfort, one should seek professional help.
Diagnosis
Routine blood sample collection and analysis is the first step in diagnosing HCV infection. A blood test will confirm the presence of antibodies in the bloodstream. Note that these antibodies take several months to develop, so there is a chance that the blood test may also show a false negative in the early stages of the disease. A follow-up PCR-based test can further confirm the presence of this disease in the bloodstream. As hepatitis C also affects the liver, doctors may recommend a liver biopsy. Here, a sample tissue of the organ is extracted for assessment under the microscope. If the tissue presents any abnormal traits, it could primarily indicate HCV infection. In addition to these tests, doctors also order a complete workup with liver function tests and genotype tests to identify the strain of the virus.
Treatment options
Multiple combinations of prescriptions can be given as a primary course of treatment to tackle the virus. These prescriptions are designed to target a specific enzyme or protein that may trigger complications linked to the progression of the viral disease. Certain oral prescriptions are designed to contain the virus and stop it from spreading within the body and are available in the form of liquids or tablets. A course of direct-acting antivirals is the next line of defense, as this option directly attacks and blocks the infection. Most types of prescriptions for managing an HCV infection work by preventing the infected cells from multiplying, helping contain the spread. In some cases, doctors also suggest the use of interferons along with direct-acting antivirals to counter the disease.
The primary objective of treatment is to help contain the virus from spreading and eliminate it from the bloodstream before other health complications begin developing. Prescriptions can result in multiple side effects, so doctors continually monitor the progress and modify the course to get desired results.
Preventive measures
A vaccine is yet to be developed for the complete cure and eradication of the hepatitis c virus. Till then, doctors recommend the following precautions to reduce the risk of contracting and spreading the infection:
Healthcare professionals should use sterile gloves when treating open wounds, as viruses can directly spread with infected blood.
It is better to avoid sharing razors, nail clippers, toothbrushes, and other personal grooming items with anyone, as there is no telling who may or may not be infected with the virus.
During treatments or even while getting a tattoo, one should ensure that the nurse or tattoo artist uses a fresh needle or syringe. Additionally, one should insist that the professionals use a new needle every single time.
If one observes one or more symptoms of the HCV infection, they should ensure regular doctor visits to get an early diagnosis and a suitable treatment plan.