What are the symptoms of hepatitis C infection?

About 75% of people have no symptoms when they first get hepatitis C infection. The remaining 25% may have

fatigue,
loss of appetite,
muscle aches, or
fever.
Very few people experience hepatitis symptoms or signs such as dark urine, yellow eyes, or clay colored stools in acute or early infection. Over time, people with chronic infection may develop signs of liver inflammation. This is often the first suggestion that the infection may be present. Infected individuals may become easily fatigued or complain of nonspecific symptoms.

As cirrhosis develops, symptoms and signs increase and may include:

– Elevated liver enzymes in the blood
– Weakness
– Loss of appetite
– Weight loss
– Breast enlargement in men (gynecomastia)
– Redness of the palms
– Difficulty with the clotting of blood
– Spider-like blood vessels on the skin
– Abdominal pain
– Clay colored stools
– Bleeding from the esophagus
– Fluid in the abdomen
– Yellow skin and eyes (jaundice)
– Confusion
– Coma

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