Hepatitis C
A viral liver infection spread mainly through blood. It often causes no symptoms for years but can be cured with tablets.
Quick Summary
Usually no symptoms for many years. Later, tiredness, jaundice, tummy swelling and signs of liver damage.
Direct-acting antiviral tablets taken for 8 to 12 weeks cure most people.
Sharing needles or syringes, unsafe injections, past blood transfusions, tattoos with unsterile equipment.
Overview
Hepatitis C is caused by the hepatitis C virus (HCV), which spreads through contact with infected blood. Sexual spread is less common.
Most people develop long-term infection without knowing it. Over decades it can cause cirrhosis and liver cancer. Modern tablets cure more than 95% of people, and treatment is available free in India under the National Viral Hepatitis Control Programme.
Symptoms
Often no symptoms
Many people only find out through a blood test.
Tiredness
Ongoing tiredness can be an early sign.
Jaundice
Yellow skin and eyes in later stages.
Tummy swelling
Fluid in the tummy in advanced liver disease.
Causes & Risk Factors
Biological Causes
Infection with the hepatitis C virus through blood-to-blood contact. The body usually can't clear it alone, so it becomes long-term.
Key Risk Factors
- Unsafe injections Reused needles or syringes, including in drug use.
- Medical procedures Unscreened blood transfusions or unsterile equipment.
- Tattoos and piercings Done with unsterile equipment.
Management & Treatment
01. Testing
An antibody test, then a test for the virus itself, confirms active infection.
02. Antiviral tablets
A short course of direct-acting antivirals cures most people.
03. Follow-up
A blood test after treatment confirms cure. Liver checks continue if there was scarring.
Frequently Asked Questions
Is there a vaccine?
Can I get it again after cure?
Is treatment free in India?
Sources and further reading
Last updated 21 October 2026. For more detail, see these trusted health organisations.
- Hepatitis C(opens in a new tab) · MedlinePlus, US National Library of Medicine
- Hepatitis C(opens in a new tab) · NHS