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 caused by the hepatitis C virus and is spread through hepatitis C-infected blood. Both hepatitis C and hepatitis B infections are spread by blood through some of the same activities (e.g., injection drug use).