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. If the test shows hepatitis C antibodies, then you have had hepatitis C at some point. A second test can tell if you still have hepatitis C.
When blood tests show that you have hepatitis C, you may 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.
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.
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 you do take medicine, the best treatment is a combination of medicines that fight infection. Examples of medicines used include peginterferon, ribavirin, sofosbuvir, and telaprevir. How well these medicines work depends on how damaged your liver is, how serious your infection is, 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 don't 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.