1 on/under pain of death idiom. 2  a pain in the arse/backside idiom. 3  a pain in the ass/butt, at a pain in the arse/backside idiom.  a pain (in the neck) idiom.
In addition to the differences in replication method, transmission risk is higher with Hep B as it can be sexually transmitted, whereas generally not with Hep C. The large majority of adult patients exposed to Hep B clear it, whereas with Hep C adults who are exposed and clear are the minority.
Hepatitis C is usually spread through direct contact with the blood of a person who has the disease. It is caused by the virus HCV (hepatitis C Virus). The liver can swell and become damaged. In hepatitis C, unlike hepatitis B, liver cancer risk is only increased in people with cirrhosis and only 20% of hep C patients get cirrhosis. Feces is never a route of transmission in hepatitis C. Donated blood is also tested for hepatitis C.