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The following symptoms may occur with HCV infection: Pain in the right upper abdomen Abdominal swelling due to fluid (ascites) Clay-colored or pale stools Dark urine Fatigue Fever Itching Jaundice Loss of appetite Nausea and vomiting Exams and Tests Blood tests are done to check for HCV: Enzyme immunoassay (EIA) to detect HCV antibody Polymerase chain reaction (PCR) to detect the virus itself, to measure virus levels (viral load), and to identify the type of hepatitis C virus All adults ages 18 to 79 should get a one-time test for HCV