Treatment FAQ

how sick do i have to be to get treatment for hep c

by Prof. Lavina Carroll Published 3 years ago Updated 2 years ago
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Who qualifies for hep C treatment?

With the exception of pregnant women, the World Health Organization recommends treatment be offered to all individuals aged 12 years or older diagnosed with HCV, regardless of their disease stage.

When should you go to hospital with hep C?

Go to the ER, or call 911 and tell them you have cirrhosis if you have these symptoms: Vomiting blood. Black, tarry stools. Confused and sleepy.

How long can you go without treating hep C?

If left untreated, hepatitis C can sometimes cause scarring of the liver (cirrhosis). This can develop up to 20 years or more after you first become infected. A number of things can increase your risk of getting cirrhosis, including: drinking alcohol.

How long does hep C take to show up?

How soon after exposure to the hepatitis C virus can a test tell if someone is infected? After exposure to the hepatitis C virus, it can take 8–11 weeks for an HCV antibody test to be positive. For most people who are infected, the anti-HCV blood test will become positive by 6 months after exposure.

What does hep C pain feel like?

Many chronic HCV sufferers also complain of getting aches and pains. Large numbers get sharp pains over the liver (found in the upper right corner of the abdomen) which can sometimes be very alarming. These pains are not necessarily connected with severe liver disease.

Is hep C urgent?

Rizza, M.D. Acute hepatitis C infection doesn't always lead to chronic hepatitis C infection. But because more than half of the people with the acute infection go on to develop chronic infection, acute hepatitis C is serious.

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 are the early warning signs of hep C?

Signs and symptoms include:Bleeding easily.Bruising easily.Fatigue.Poor appetite.Yellow discoloration of the skin and eyes (jaundice)Dark-colored urine.Itchy skin.Fluid buildup in your abdomen (ascites)More items...•

Can you beat hep C without treatment?

The Centers for Disease Control and Prevention (CDC) reports less than half of people who contract the hepatitis C virus may clear it from their bodies without treatment. For this group of people, the virus will be a short-term acute condition that goes away without treatment.

How long does hep C take to damage liver?

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.

What does hep C rash look like?

These red or purple blotches can be as small as a pinhead or as big as half an inch. They can hurt or itch. For people with hepatitis C, the rash is usually a symptom of cryoglobulinemia. It's a blood vessel problem that happens when proteins in your blood stick together in cold weather.

Which is worse hepatitis B or C?

While hepatitis C tends to get more attention and research funding, hepatitis B is considerably more common and causes more liver-related cancer and death worldwide than hepatitis C.

Does the ER check for hepatitis?

We offer a hepatitis test to all people who need a blood test in the emergency department (A&E). Hepatitis B and hepatitis C are viruses that cause an infection called hepatitis in the liver.

Which type of hepatitis is more severe?

Hepatitis Delta is considered to be the most severe form of hepatitis because of its potential to quickly lead to more serious liver disease than hepatitis B alone. Of the 292 million people living with chronic hepatitis B, approximately 15-20 million are also living with hepatitis D.

What does a high viral load for hep C mean?

High viral load: This is when your count is more than 800,000 IU/mL. If your viral count is high at the start, it can be hard or impossible for your treatment to completely get rid of the virus. Some researchers consider high levels anything above 400,000 IU/mL. Low viral load: This is a count below 800,000 IU/mL.

What is a positive hep C result?

A positive result means that a person has the hepatitis C virus. A negative result means that the body has cleared the virus without treatment. The second test is the hep C RNA quantitative test. The result of this test is given as a number rather than a positive or negative.

Treatment

  • Hepatitis C virus is treated with all-oral medications. These pills, called antiviral medications , are usually taken once per day. These antiviral medications are extremely good at attacking the virus and preventing it from multiplying. Antiviral medications were not the original treatment for hepatitis C. Before 2014, the only treatment for hepat...
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Medical uses

  • Ribavirin (without interferon) is still sometimes prescribed to be taken along with the new antiviral medicines, but it has become more and more uncommon that ribavirin is needed at all. Ribavirin has some mild-moderate side effects. Ribavirin is a pill taken twice per day, as 2 or 3 pills in the morning plus 2 or 3 pills at night, depending on the patient's body weight. Most patients do not n…
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Mechanism

  • In an untreated state, the hepatitis C virus infects the cells of the liver and then continuously lives there, making copies of itself that circulate in the bloodstream. Antiviral medications can destroy the ability of the virus to reproduce, so the amount of virus in the bloodstream then decreases. The amount of virus in the blood is measured by a viral load (also called HCV RNA).
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Prognosis

  • Treatment is successful when the viral load drops to undetectable levels, which means the virus cannot be detected in the bloodstream at all. The viral load becomes undetectable during treatment and remains undetected after treatment has ended. If there is still no detectable virus in the blood 12 weeks after the end of the treatment, the treatment was successful. This is called …
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Symptoms

  • The medications will usually cause a very big drop in the viral load within the first two weeks. Some patients will see their viral load become undetectable very early, such as by the fourth week. For other patients, it can take longer until their viral load becomes undetectable.
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Results

  • Your provider will meet with you during treatment to review how well you are tolerating treatment and review laboratory results. Laboratory tests help keep tabs on your health, track the viral load, and determine your response to treatment. You will be given specific dates to go get your blood tested at the lab during and after the treatment.
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Access

  • For more about hepatitis C treatment, see our patient information , contact the Centers for Disease Control and Prevention (CDC) Hepatitis Toll-Free Information Line at 1-888-4 HEPCDC (1-888-443-7232), or visit the CDC website at http://www.cdc.gov/hepatitis/index.htm .
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