<s>[INST] i have hepatitis c, have not started treatment, and i still drink. Im very active and eat good. lately my ankles have been swelling and i have dark spots on my feet and up my legs, they look like lg. freckles. i would go to the dr. but at the time i am not insured Im 57 yrs old, female [/INST] Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Hepatitis C is common cause for chronic liver disease including cirrhosis. Hence, your further investigation needed in form of USG abdomen and liver enzymes value to check status of hepatitis C stage. Your serum protein, albumin and CBC should be investigated for your complaint. You can revert with reports for further discussion. I suggest you not to neglect your condition and consult gastroenterologist for examination. Hope I have answered your question. Let me know if I can assist you further. </s>