Hepatitis C - Complications

Complications-Hepatitis C

If left untreated, hepatitis C can sometimes cause scarring of the liver (cirrhosis). This can develop up to 20 years or more after you first become infected.

A number of things can increase your risk of getting cirrhosis, including:

drinking alcohol
having type 2 diabetes
getting hepatitis C at an older age
having HIV
- having another type of hepatitis, such as hepatitis B

Overall, up to 1 in every 3 people infected with hepatitis C will develop cirrhosis within 20 to 30 years. Some of these will then go on to develop liver failure or liver cancer.

Cirrhosis

If you have cirrhosis, the scarred tissue in your liver gradually replaces healthy tissue and prevents the liver from working properly.

There are usually few symptoms in the early stages. But as your liver loses its ability to function properly, you may experience:

tiredness and weakness
loss of appetite
weight loss
feeling sick
very itchy skin
tenderness or pain in your tummy
tiny red lines (blood capillaries) on the skin
yellowing of the skin and whites of the eyes (jaundice)

Other than a liver transplant, there's no cure for cirrhosis. However, lifestyle measures and hepatitis C medications can help stop the condition getting worse.

Liver failure

In severe cases of cirrhosis, the liver loses most or all of its functions. This is known as liver failure or end stage liver disease.

Each year, around 1 in every 20 people with hepatitis-associated cirrhosis will develop liver failure.

Symptoms of liver failure include:

hair loss
build-up of fluid in the legs, ankles and feet (oedema)
build-up of fluid in your tummy (ascites)
dark urine
black, tarry poo or very pale poo
frequent nosebleeds and bleeding gums
bruising easily
vomiting blood

It's usually possible to live with liver failure for several years by taking medication. However, a liver transplant is currently the only way to cure the condition.

Liver cancer

It's estimated that around 1 in every 20 people with hepatitis-associated cirrhosis will develop liver cancer each year.

Symptoms of liver cancer can include:

loss of appetite
unexplained weight loss
tiredness
feeling and being sick
pain or swelling in your tummy
jaundice

Unfortunately, it's not usually possible to cure liver cancer, especially in people with cirrhosis, although treatment can help control your symptoms and slow the spread of the cancer.