Did you feel guilt about your drug abuse and consequent diagnosis?
NC: I’m usually the type to say, “I’m just going to fight and live in the present.” I can’t be bothered beating myself up with guilt. Once I got sober, I learned guilt is just too stressful. I take full responsibility for anything I’ve done in my life and the consequences – so there’s no room for guilt. But I got very angry. Then I started worrying. I worried how my diagnosis would affect my life and career. What would treatment involve? I was so angry at myself, but I realized there’s no point on dwelling on the should-haves and getting stuck on anger or worry. So I refocused on “What are we going to do to get me healthy?”
What causes hepatitis C infection?
Hepatitis C is caused by the hepatitis C virus. It is spread by contact with an infected person’s blood. You can get hepatitis C if:
• You share needles and other equipment used to inject illegal drugs. This is the most common way to get hepatitis C in the United States.
• You had a blood transfusion or organ transplant before 1992. As of 1992 in the United States, all donated blood and organs are screened for hepatitis C.
• You get a shot with a needle that has infected blood on it. This happens in some developing countries where they use needles more than once when giving shots.
• You get a tattoo or a piercing with a needle that has infected blood on it. This can happen if equipment isn’t cleaned properly after it is used.
• In rare cases, a mother with hepatitis C spreads the virus to her baby at birth, or a health care worker is accidentally exposed to blood infected with hepatitis C.
What are some typical Hepatitis C symptoms?
Most people have no symptoms when they are first infected with the hepatitis C virus. If you do develop symptoms, they may include:
• Feeling very tired.
• Joint pain.
• Belly pain.
• Itchy skin.
• Sore muscles.
• Dark urine.
• Yellowish eyes and skin (jaundice). Jaundice usually appears only after other symptoms have started to go away.
Most people go on to develop chronic hepatitis C but still do not have symptoms. This makes it common for people to have hepatitis C for 15 years or longer before it is diagnosed.
Many people find out by accident that they have the virus. They find out when their blood is tested before a blood donation or as part of a routine checkup. Often people with hepatitis C have high levels of liver enzymes in their blood. If your doctor thinks you may have hepatitis C, he or she will talk to you about having a blood test.
need a liver biopsy to see if the virus has caused scarring in your liver. During a liver biopsy, a doctor will insert a needle between your ribs to collect a small sample of liver tissue to look at under a microscope. See a picture of the placement of the needle for a liver biopsy.
Some people prefer to find out on their own if they have been exposed to hepatitis C. You can buy a home test called a Home Access Hepatitis C Check kit at most drugstores. If the test shows that you have been exposed to the virus in the past, be sure to talk to your doctor to find out if you have the virus now.
How is it treated?
You and your doctor need to decide if you should take antiviral medicine to treat hepatitis C. It may not be right for everyone. If your liver damage is mild, you may not need medicine.
If you do need medicine, how well these medicines work depends on how damaged your liver is, how much virus you have in your liver, and what type of hepatitis C you have.
Taking care of yourself is an important part of the treatment for hepatitis C. Some people with hepatitis C do not notice a change in the way they feel. Others feel tired, sick, or depressed. You may feel better if you exercise and eat healthy foods. To help prevent further liver damage, avoid alcohol and illegal drugs and certain medicines that can be hard on your liver.