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Hepatitis C – Comprehensive Patient Guide

Overview

Hepatitis C is a viral infection that primarily affects the liver. It spreads through direct blood-to-blood contact and may remain silent for years before causing noticeable symptoms. Without timely diagnosis and treatment, hepatitis C can gradually damage the liver and may lead to long-term complications.

The good news is that hepatitis C is now highly treatable, and most patients can achieve complete viral clearance with modern medical therapy.

How Hepatitis C Spreads

Hepatitis C is transmitted only when blood infected with the hepatitis C virus (HCV) enters another person’s bloodstream. It does not spread through casual contact.

Common risk situations include:

  • Sharing needles or injection equipment
  • Exposure to non-sterile medical, dental, tattoo, or piercing instruments
  • Blood transfusions or surgeries performed before routine screening was introduced
  • Accidental needle-stick injuries in healthcare settings

Sexual transmission is uncommon but possible, particularly if there is blood exposure or the presence of open wounds. Using barrier protection reduces this risk.

Hepatitis C does not spread through hugging, coughing, sneezing, sharing food, utensils, or normal day-to-day contact.

Signs and Symptoms

Many individuals with hepatitis C experience no symptoms for long periods. When symptoms do occur, they may be mild and non-specific, such as:

  • Persistent fatigue
  • Nausea or poor appetite
  • Abdominal discomfort
  • Muscle or joint pain
  • Low-grade fever
  • Difficulty concentrating or mood changes

If liver damage progresses significantly, symptoms related to cirrhosis may appear. These can include jaundice, abdominal swelling, bleeding tendencies, or unexplained weight loss. Regular medical follow-up helps identify complications early.

How Hepatitis C Is Diagnosed

Diagnosis involves a step-by-step evaluation to confirm infection and assess liver health.

Hepatitis C Antibody Test

This blood test shows whether a person has ever been exposed to the virus.

HCV Viral Load Test

If antibodies are present, this test confirms whether the virus is currently active and measures the amount of virus in the blood.

Liver Enzyme Tests

Blood tests such as ALT and AST help assess liver inflammation, although normal levels do not always rule out liver damage.

Genotype Testing

Hepatitis C has different genotypes. Identifying the genotype helps guide treatment planning.

Liver Health Assessment

Liver damage may be assessed using imaging, non-invasive fibrosis tests, or in selected cases, a liver biopsy to determine the degree of scarring.

Treatment of Hepatitis C

Hepatitis C is now considered a curable disease in most patients. Current treatment involves oral antiviral medications taken for a defined duration. These medicines are generally well tolerated and highly effective.

Treatment decisions depend on:

  • Viral load and genotype
  • Degree of liver damage
  • Overall health of the patient

Early treatment greatly reduces the risk of cirrhosis, liver failure, and liver cancer.

Prevention Measures

Because there is no vaccine for hepatitis C, prevention relies on safe practices:

  • Never sharing needles or injection equipment
  • Avoiding sharing personal hygiene items such as razors or toothbrushes
  • Ensuring tattooing and piercing are done with sterile equipment
  • Following standard safety precautions in healthcare settings
  • Using protection when there is a risk of blood exposure
  • Covering open cuts or wounds

Living With and After Hepatitis C

Most individuals diagnosed and treated early can lead normal, active lives. Long-term liver health is supported by:

  • Avoiding alcohol
  • Maintaining a balanced diet
  • Regular physical activity
  • Attending follow-up appointments
  • Taking medications as prescribed

Hepatitis C Care Under Dr. Saurabh Singhal

Hepatitis C evaluation and treatment are provided under the supervision of Dr. Saurabh Singhal,

Director & Head – Centre for Liver-GI Diseases & Transplantation (CLDT), at Aakash Healthcare, Dwarka, New Delhi.

Care focuses on:

  • Accurate and timely diagnosis
  • Evidence-based antiviral therapy
  • Monitoring for liver fibrosis or cirrhosis
  • Long-term liver health and prevention of complications

Patients receive structured care from diagnosis through treatment and long-term follow-up.

Frequently Asked Questions

What is hepatitis C?

Hepatitis C is a viral infection that causes inflammation of the liver and may progress to chronic liver disease if untreated.

Can hepatitis C be cured?

Yes. Most patients can be cured with modern oral antiviral medications.

Is alcohol safe in hepatitis C?

No. Alcohol accelerates liver damage and should be strictly avoided.

Can hepatitis C lead to cirrhosis or liver cancer?

Yes. Long-standing untreated hepatitis C can lead to cirrhosis and increase the risk of liver cancer.

Is pregnancy a risk for hepatitis C transmission?

Mother-to-child transmission is uncommon but possible. Most affected infants remain healthy with appropriate monitoring.

Conclusion

Hepatitis C is a serious but treatable and often curable liver disease. With early diagnosis, appropriate antiviral therapy, and specialist follow-up, most patients can expect excellent outcomes and preservation of liver function.

Timely consultation with a liver specialist is the key to preventing long-term complications and ensuring lasting liver health.

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