What are the early symptoms of hepatitis C?

When symptoms occur, they may resemble a mild viral illness: tiredness, nausea, reduced appetite, low energy, aching, or a dull discomfort beneath the ribs. Dark urine, pale stools, itching, or yellowing of the eyes and skin can also occur. These signs are not unique to hepatitis C, and many people with the condition have no early warning.

A symptom is not proof of the condition: a person with fatigue may have many different causes, while a person with hepatitis C may feel entirely well. Read about [Hepatitis C](/conditions/hepatitis-c/) and [Fatigue](/symptoms/fatigue/). Testing is needed after a relevant exposure or clinical concern.

Book a medical assessment if you have possible blood exposure, unexplained symptoms, or a hepatitis C result that needs clarification. The clinician may start with an antibody test and arrange a current-virus test when indicated. A [GP Consultation](/treatments/consultations-and-assessment/gp-consultation/) can review your history, medicines, and symptoms. A [Liver Function Test](/treatments/diagnostics-and-screening/liver-function-test/) may assess liver health, but it does not replace virus testing. Until assessed, do not share needles, razors, or toothbrushes.

Arrange prompt, non-emergency medical advice for persistent tiredness, appetite loss, nausea, or abdominal discomfort, particularly after a possible exposure. Seek urgent help for yellow skin or eyes, confusion, severe vomiting, vomiting blood, black stools, severe swelling of the abdomen, or rapidly worsening illness. These are red flags regardless of their cause.

Ask which test is appropriate for the timing of a possible exposure, whether liver tests are needed, and how results will be followed up. Ask which medicines or supplements may affect the liver and what warning signs should lead you to urgent care.