Hepatitis C: How to Test, Treat, and Care for Your Liver
Hepatitis C is a viral infection that attacks the liver. The good news: modern treatments cure most people. This page gives straightforward steps on testing, what treatment looks like today, and simple daily habits that protect your liver while you get care.
How testing works and what results mean
Start with an antibody test. If that’s positive, your doctor will order an HCV RNA test to confirm active infection. RNA detects the virus itself—if it’s positive, you have an active infection that needs follow-up. After diagnosis, expect blood tests for liver enzymes and a check for liver scarring. Tests like APRI or FIB‑4 are common, and many clinics offer FibroScan for a quick, painless read on fibrosis.
Don’t skip vaccination checks: if you’re not immune to hepatitis A or B, get those vaccines. Coinfections can make liver disease worse.
Treatment today: simple, short, and highly effective
Direct-acting antivirals (DAAs) are the standard now. They target the virus and usually work in 8–12 weeks. Cure rates are over 90–95% for most people and genotypes. Common DAA combinations include drugs with names like sofosbuvir, ledipasvir, glecaprevir, pibrentasvir, and velpatasvir. Your doctor will pick a regimen based on viral genotype, liver health, and other medicines you take.
Be honest about all medications and supplements you use—some interact with DAAs. That includes certain blood thinners, antacids, and some herbal products. If you take warfarin or strong anticonvulsants, your doctor will adjust doses or choose a safer antiviral for you.
During treatment you’ll have a follow-up RNA test at the end and again 12 weeks later to confirm cure. Side effects are usually mild—fatigue, headache, or nausea—and most people tolerate treatment well.
What to do day-to-day: avoid alcohol and recreational drugs that harm the liver. Keep acetaminophen use within recommended limits. Eat balanced meals, stay active, and aim for a healthy weight—fatty liver disease makes recovery slower.
If you’ve had hepatitis C for years, your doctor may still recommend regular liver cancer screening (ultrasound and blood markers) even after cure if advanced scarring is present.
Want to learn more or find specific guides? Use the site search or visit our home page at HoneyBeeHealth.com for patient-friendly articles and links to clinics and testing resources. If you suspect exposure or notice persistent liver symptoms—jaundice, dark urine, or unexplained fatigue—see a clinician right away. Early testing and modern treatment make a big difference.
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