If you have only had the antibody test that test is of no value. A person who was infected in the past will always and forever test positive for Hepatitis c antibodies. Antibodies are not the virus they are made by your own body when it tries to fight the hepatitis c virus.
If you have had the HCV RNA by PCR test which looks for the hepatitis C virus in your blood and this test is detected for the virus with a result of how many copies of the virus there are per mL of blood then yes you either relapsed (although relapse is not common) or somehow you became infected again with a new infection.
Only the HCV RNA by PCR test will tell you if you are currently infected with hep.
If you are infected withhep c the correct treatment for you will depend on which genotype you are infected with. The correct medicine will be determined by your doctor based on several factors long with your genotype.
But first you need to have the HCV RNA test to find out if you are currently infected and will require treatment.
There are other less common ways to be exposed. Are you saying your liver enzymes are elevated? Even elevated liver enzymes (AST ALT) can have other causes than hep c. For example being overweight can cause excess fat cells to form in the liver causing NAFLD (Non alcoholic Fatty Liver Disease). Also some medicines, drinking alcohol or other medical conditions can also cause elevations in liver enzyme tests.
I am guessing they will be checking you with the HCV RNA by PCR test and other possible reasons you could have elevated liver enzymes.
Flyin nailed it.
My DH had HEpc for 25+ years before it became Primary Liver Cancer, which was a death sentence 13 years ago. Liver transplant, 84 WEEKS on interferon/ribavirin and then almost immediate relapse, but we knew the miracle Harvoni was in the wings.....and it DID cure DH's genotype 1a in 12 weeks.
Expected to have a normal lifespan now. I guess the worst s/e has been chronic depression. Even tho he's cured and we honestly never really think about the awfulness of the transplant and post TX.