Did you know that hep C symptoms only show up in 20% of people with hepatitis C? That means four out of five people with hepatitis C have zero hep C symptoms. Which means they might never get an STD test for hepatitis C.

If you have hep C symptoms, consider yourself lucky: those who get STD tested and get treated have a 75% chance of clearing the virus from their systems, thanks to new drugs on the market.

Most Common Hep C Symptoms

Remember, even the hep C symptoms considered “common” are only common among the minority who show signs of the disease. They tend to hit between five and 12 weeks after infection and might include:

  • Nausea
  • Vomiting
  • Diarrhea
  • Appetite loss
  • Lethargy or fatigue
  • Pain on the right side of the abdomen (where the liver sits)
  • Yellowed skin or eyes (jaundice)
  • Dark urin
  • Grayish stools


Later-Stage Hep C Symptoms

Here’s the problem with a disease that doesn’t cause symptoms: people don’t know they’re infected. And that means they don’t seek treatment. Untreated, hepatitis C can lead to liver damage and cirrhosis, which often does cause symptoms, including the following.

  • Jaundice
  • Appetite and weight loss
  • Gray stools and dark urine
  • Low-grade fever
  • Abdominal distension or pain
  • Fatigue


Because treatment for hepatitis C tends to work best when applied in the early stages of infection, the CDC recommends an  STD test for hepatitis C based on risk factors (like using injected drugs or sharing tattoo needles) rather than presence of hep C symptoms.