Treatment FAQ

how longafter being diagnosed with hepatitis c can you start treatment

by Angelica Hahn Published 2 years ago Updated 1 year ago
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If you have a reactive antibody test and a positive NAT for HCV RNA, you need to talk to a doctor about treatment. Treatments are available that can cure most people with hepatitis C in 8–12 weeks.Jul 28, 2020

Common tests & procedures

Over 90% of people infected with hepatitis C virus (HCV) can be cured of their infection, regardless of HCV genotype, with 8–12 weeks of oral therapy ( 34 ).

How long does it take to cure Hepatitis C?

However, even in the chronic phase, it may take years for symptoms to show. Progression begins with inflammation of the liver, followed by death of liver cells. This causes scarring and hardening of liver tissue. About 20 percent of people with chronic hepatitis C go on to develop cirrhosis of the liver in 15 to 20 years.

How long does it take for hepatitis C symptoms to show?

Without antiviral treatment, an estimated 67 to 91 percent of people with hepatitis C-related liver scarring die from liver cancer, liver failure, or other liver-related causes. Getting early treatment may help prevent life-threatening complications, which might add years to your life.

What happens if Hepatitis C is not treated?

Early treatment for hepatitis C may help prevent or limit the development of cirrhosis, lowering your risk of developing liver cancer, liver failure, and other complications. The longer you wait to begin treatment, the longer the virus has to cause potentially life-threatening damage to your liver.

Why is it important to treat hepatitis C early?

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How long can you have hep C before liver damage?

On average it takes about twenty years for significant liver scarring to develop. The symptoms experienced and the damage done to the liver vary dramatically from person to person. Some people will have few, if any, symptoms for many years.

Can hep C be cured at any stage?

With new hepatitis C drugs, the disease is curable in 90% or more of cases. By the time the disease reaches end stage, it can't be reversed. You can take medicine to control symptoms like fatigue, pain, and itching. If your liver stops working, the only option is to have a liver transplant.

How long does it take for hep C to clear on its own?

Sometimes, the infection goes away on its own. Acute hepatitis is C is a short-term illness that occurs within the first six months after being exposed to the virus. Like the human papillomavirus (HPV), early acute hepatitis C can clear on its own without treatment; this happens about 25% of the time.

How long does it take for hep C to become chronic?

Acute symptoms appear one to three months after exposure to the virus and last two weeks to three months. Acute hepatitis C infection doesn't always become chronic. Some people clear HCV from their bodies after the acute phase, an outcome known as spontaneous viral clearance.

Can I live a normal life with hep C?

There are now several effective medications that treat hepatitis C. If the disease is caught early and treated, people with hepatitis C can live a normal life. Approximately 3 to 5 million people in the United States are living with chronic hepatitis C, an infection that causes inflammation and scarring in the liver.

What is the success rate of hep C treatment?

Hepatitis C treatment can cure more than 90 percent of hepatitis C cases, but testing is a critical first step. It's estimated 40 percent of people with hepatitis C in the U.S. from 2015-2018 were unaware of their infection.

Is hep C still contagious after treatment?

Summary: Patients with chronic hepatitis C that has been resolved through therapy or immune response may still be able to infect others with the virus. Patients with chronic hepatitis C that has been resolved through therapy or immune response may still be able to infect others with the virus.

How long is hep C contagious?

Persons with acute hepatitis C virus infection are generally contagious from one or more weeks before the onset of symptoms. The contagious period is indefinite in chronically infected persons. All persons who test positive should be considered to be potentially contagious.

What happens if you test positive for hep C?

Most people who get infected with hepatitis C virus (HCV) develop a chronic, or lifelong, infection. Left untreated, chronic hepatitis C can cause serious health problems, including liver damage, cirrhosis, liver cancer, and even death.

Can the liver repair itself after hepatitis?

Barring complications, the liver can repair itself completely and, within a month, the patient will show no signs of damage. However, sometimes the liver gets overwhelmed and can't repair itself completely, especially if it's still under attack from a virus, drug, or alcohol.

Will I feel better after hep C treatment?

Since hepatitis C doesn't always cause any symptoms, you may not feel any different after being cured. If you were experiencing symptoms — fatigue is the common one — you should start to feel stronger and more energetic, which should continue to improve after you finish treatment, says Massoud.

Does hep C always cause liver damage?

Vital Information: The hepatitis C virus is related to the development of chronic liver disease, but not everyone with the virus goes on to develop liver disease. A new study shows that the progression to liver disease may be even less frequent than previously believed.

How rare is hepatitis C?

Now that more advanced screening tests for hepatitis C are used in blood banks, the risk of transmission to recipients of blood or blood products is considered extremely rare, at <1 case per 2 million units transfused.

What is the aseptic technique for HCV?

All health-care personnel, including those who are HCV positive, should follow a strict aseptic technique as described by the National Institute for Occupational Safety and Health and the CDC, including appropriate hand hygiene, use of protective barriers, and safe injection practices.

How long does it take for antibodies to show up in a blood test?

The window period for acute HCV infection before the detection of antibodies averages 8 to 11 weeks, with a reported range of 2 weeks to 6 months.

What is the risk of cirrhosis in the following year?

Patients who develop cirrhosis have a 1%–4% annual risk of developing hepatocellular carcinoma and a 3%–6% annual risk of hepatic decompensation; for the latter patients, the risk of death in the following year is 15%–20% ( 7 ).

Can hepatitis C cause liver enzymes to fluctuate?

Yes. It is common for patients with chronic hepatitis C to have fluctuating liver enzyme levels, with periodic returns to normal or near normal levels. Liver enzyme levels can remain normal for over a year despite chronic liver disease ( 28 ).

Does dental surgery spread hepatitis C?

As long as Standard Precautions and other infection-control practices are consistently implemented, medical and dental procedures performed in the United States generally do not pose a risk for the spread of hepatitis C.

Is hepatitis C test complete?

If a person tests positive for HCV antibodies, hepatitis C testing is not considered complete unless the initial positive anti-HCV test is followed by a test for HCV RNA as per CDC guidelines. A positive test for HCV RNA is needed before a patient can be diagnosed with current HCV and begin receiving treatment.

How long does it take to cure hepatitis C?

As a result, people experience better outcomes, fewer side effects and shorter treatment times — some as short as eight weeks.

How long does it take for hepatitis C to clear?

The goal of treatment is to have no hepatitis C virus detected in your body at least 12 weeks after you complete treatment.

What is the best treatment for hepatitis C?

Liver transplantation. If you have developed serious complications from chronic hepatitis C infection, liver transplantation may be an option. During liver transplantation , the surgeon removes your damaged liver and replaces it with a healthy liver.

How old do you have to be to get tested for hepatitis C?

The U.S. Preventive Services Task Force recommends that all adults ages 18 to 79 years be screened for hepatitis C, even those without symptoms or known liver disease. Screening for HCV is especially important if you're at high risk of exposure, including: Anyone who has ever injected or inhaled illicit drugs.

How to prevent liver damage?

Avoid medications that may cause liver damage. Review your medications with your doctor, including over-the-counter medications you take as well as herbal preparations and dietary supplements. Your doctor may recommend avoiding certain medications. Help prevent others from coming in contact with your blood.

How to prepare for a liver appointment?

Because appointments can be brief and because there's often a lot to discuss, it's a good idea to be well prepared. To prepare, try to: Review your medical record. This is particularly important if you are seeing a liver specialist (hepatologist) for the first time after finding out you have hepatitis C.

What to do if you have hepatitis C?

If you receive a diagnosis of hepatitis C, your doctor will likely recommend certain lifestyle changes. These measures will help keep you healthy longer and protect the health of others as well:

How long does hepatitis C last?

People with hepatitis C can live many years after diagnosis, but the range varies.

What happens if you have hepatitis C?

With hepatitis C, the liver becomes seriously damaged due to inflammation. This can lead to a complication called cirrhosis, which is severe scarring of the liver. It can also lead to liver failure and liver cancer.

How long does it take for cirrhosis to develop?

About 10-20 percent of patients with hepatitis C will develop cirrhosis within 20-30 years, 3-6 percent will go into liver failure, and 1-5 percent will develop liver cancer.

How long can you live with HCV?

However, a person can live for years without even knowing that they have HCV. Once the symptoms start to show, the person usually already has liver damage, which can affect treatment and prognosis. There are two main types of HCV: acute and chronic. Around 75–85% of acute cases become chronic.

What is the treatment for HCV?

In the United States, typical treatments for HCV used to include interferon, which is an injection, and ribavirin, which is an oral medication. However, newer medications called direct-acting antivirals (DAAs) are starting to make the treatment process shorter and more effective.

What is the chance of developing liver cancer?

chance of developing liver cancer. They also have a 3–6% annual chance of developing hepatic decompensation and liver failure. Hepatic decompensation occurs when a person with cirrhosis begins to show symptoms of the condition because the liver is having trouble functioning.

What are the complications of chronic HCV?

Some potential complications of chronic HCV include: liver damage. cirrhosis, or permanent scarring of the liver. liver cancer.

What is the best treatment for cirrhosis?

For people with end stage cirrhosis due to chronic HCV, the best treatment option is a liver transplant. A liver transplant can correct both liver damage and liver cancer.

How many people died from HCV in 2017?

The CDC. Trusted Source. report that in 2017, 17,253 deaths in the U.S. had HCV listed as a contributing factor. More than 70% of these deaths also had moderate-to-severe liver disease listed as a cause.

What are the symptoms of cirrhosis?

Cirrhosis can cause symptoms such as: 1 bruising and bleeding easily 2 swelling in the lower legs, ankles, or feet 3 confusion 4 difficulty thinking 5 memory loss 6 personality changes 7 sleep disorders 8 ascites, or bloating from a buildup of fluid in the abdomen 9 severe itchy skin 10 dark urine 11 jaundice

How long does it take to cure hepatitis C?

Thanks to advances in medicine, hepatitis C can be fully cured in the vast majority of people within just eight to 12 weeks of treatment, according to the Centers for Disease Control and Prevention (CDC).

How long does it take for hepatitis C to go away?

If you experience symptoms of hepatitis C (and many people don’t), it may take a few weeks or months after you finish your treatment to feel better — if you notice any changes at all.

How to avoid getting re-infected with hepatitis C?

To avoid getting re-infected, it’s important to take all the steps you’d take to avoid the virus in the first place. For example, don’t share razors or syringes, and avoid sharing toothbrushes with people who’ve been diagnosed with hepatitis C. It’s also a good idea to ask your partner to be tested for hepatitis C.

Can you drink alcohol after hepatitis C?

You may not be able to keep drinking. For some people, it’s a good idea to avoid alcohol after you’ve been cured of chronic hepatitis C, mainly because adult beverages might tax your damaged liver and cause additional liver damage.

Can you live after hepatitis C treatment?

7 Things to Know About Life After Hepatitis C Treatment. Yes, the virus has been cleared from your body — but depending on whether you have liver damage, you may still need some additional follow-up appointments. Even if you've been cured of hepatitis C, you might need to take additional steps to protect your health.

Can you get hep C again?

You can still get hep C again. Hepatitis C is unlike many viruses you may be familiar with, since you can still become re-infected even after you’ve been cured. And, unfortunately, there is no vaccine on the horizon. “The antibody you get from hepatitis C is not protective,” says Menon.

Can you have a liver biopsy after treatment?

To assess liver damage, your doctor will perform a biopsy or a scan either before or after treatment. If there’s no scarring, you probably won’t need long-term follow-up. If you have cirrhosis or advanced fibrosis (scarring of the liver), however, you may need to be followed over the long-term, potentially for the rest of your life.

How to manage hep C?

Lifestyle management: When you have hep C, you can do things to stay healthy and keep other people from becoming infected. Stop drinking alcohol. It can cause more liver damage. Talk to your doctor about any medicines you are taking, including supplements. Some may cause liver damage.

How long does it take for cirrhosis to clear?

Liver failure. Treatment: Antiviral drugs can work to clear the virus from your body. You may take several medicines for 8-12 weeks. You’ll see your doctor regularly and have blood tests while you take the drugs to make sure your body responds well to treatment.

How long does it take for hepatitis C to clear up?

Early symptoms may include: fatigue. loss of appetite. jaundice, or mild yellowing of your skin and eyes. In most cases, symptoms clear up within a few weeks. If your immune system doesn’t fight the infection on its own, it enters the chronic phase.

What is hepatitis C?

Hepatitis C is an infection caused by the hepatitis C virus (HCV) that leads to liver inflammation. Symptoms can be mild for many years, even while liver damage is taking place. Many people with hepatitis C end up with chronic hepatitis C that can last a lifetime. The consequences of long-term infection include liver damage, liver cancer, ...

What are the consequences of long term hepatitis C?

The consequences of long-term infection include liver damage, liver cancer, and even death. Early detection and treatment are key for stopping the progression of hepatitis C and avoiding major complications. Read on to learn how HCV is spread and how the infection progresses.

How long does it take for cirrhosis to show?

This causes scarring and hardening of liver tissue. About 20 percent of people with chronic hepatitis C go on to develop cirrhosis of the liver in 15 to 20 years.

How does hepatitis C spread?

How hepatitis C spreads. You can contract HCV through contact with blood or some bodily fluids that contains HCV. You’re at risk of contracting the virus if you: share infected needles. come into regular contact with blood. have had long-term kidney dialysis.

Why does hepatitis go unnoticed?

If your immune system doesn’t fight the infection on its own, it enters the chronic phase. Because of the lack of symptoms , hepatitis C can go unnoticed for years. It’s often discovered during a blood test that’s being done for other reasons.

How many people fight off HCV?

Others experience mild symptoms, such as fatigue and loss of appetite, which tend to clear up on their own. About 15 to 20 percent of people who contract HCV fight it off without treatment or long-term damage to their health.

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Diagnosis

Treatment

Clinical Trials

Medically reviewed by
Dr. Karthikeya T M
Your provider may recommend one or more of these diagnostic tests and procedures as part of an evaluation.
Blood tests are recommended initially to screen hepatitis C infection. The doctors may recommend additional tests to check the severity of the liver damage before the medications.
Common tests & procedures

Enzyme-linked immunosorbent assay (ELISA): This is a blood test to check the presence of HCV antibodies in the blood.

Recombinant ImmunoBlot assay (RIBA): A blood test to detect hepatitis C virus.

Reverse transcriptase polymerase chain reaction: To check for HCV antibodies.

Magnetic resonance elastography (MRE): Detects fibrosis or scarring of liver.

Transient elastography: A non-invasive test, a type of ultrasound to check the liver stiffness of the liver.

Liver biopsy: A thin needle is inserted through the abdomen to remove a liver tissue sample for further analysis.

Lifestyle and Home Remedies

Preparing For Your Appointment

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