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Warning-sign checks

Hepatitis C: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services or go to an emergency department for:

    • Vomiting blood
    • Black, tar-like stools
    • Severe confusion, unusual behaviour, or difficulty waking
    • Fainting with signs of internal bleeding
    • Rapid abdominal swelling with severe breathlessness
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek prompt medical advice if you develop new jaundice, increasing abdominal swelling, swollen legs, unusual bruising, persistent vomiting, or worsening confusion.

    These symptoms do not always mean severe liver damage, but they need assessment.

    These can be signs of bleeding or advanced liver complications and should not wait for a routine appointment.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment or hepatitis C test if you have had a possible blood exposure, previously shared drug-injection equipment, received an unscreened transfusion, or have been told that a liver test is abnormal.

    Testing is also appropriate if a current or former sexual or household contact has hepatitis C and blood exposure may have occurred.

Every sign above is quoted from the sofidex article on Hepatitis C. If you are not sure, err upward — it is always reasonable to be checked.