Because hepatitis C doesn't always cause symptoms, you may not know you have the virus. Your doctor won't likely check for hepatitis C unless you have abnormal liver tests, think you've had contact with a person who is infected, or if you were born between 1945 and 1965. If you think you may have the disease, you can get a blood test.
If you have hepatitis C, your doctor may also do a liver biopsy. He’ll insert a needle into the organ and remove a piece of tissue. It will go to a lab for tests.
What Are the Treatments?
Your treatment will depend on many things including what type of hepatitis C virus you have. In the U.S. the most common type is genotype 1. Less common are genotypes 2 and 3. Genotypes 4, 5, and 6 are rare in the U.S. Also, your doctor’s choice of treatment will be influenced by past treatments and whether you have cirrhosis, kidney disease, or HIV.
Treatment options include:
Ledipasvir and sofosbuvir (Harvoni)
Ombitasvir-paritaprevir-ritonavir plus dasabuvir (Viekira Pak)
These medications are, in general, well tolerated. The FDA has issued a warning that Technivie and Viekira Pak can cause severe liver injury especially if you already have severe liver disease.