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Treatment for hepatitis C infection - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2009
Answered : 595 Questions
User :   Hi
Doctor :   hi
Doctor :   how can i help yu
User :   my aunty is having hepatetis
User :   that is HCV+
Doctor :   ok
User :   is their any treatment for that
Doctor :   ok
Doctor :   i will help u in this
User :   ok
Doctor :   can i ask few Q
Doctor :   wat her age
User :   sure.
User :   38
Doctor :   ok
Doctor :   how did she acquire hepatitis C
User :   one week back she is admitted for dengu fever in manipal hospital
Doctor :   ok
User :   they were given treatment and controlled
Doctor :   ok
User :   at the final they tested blood and came to know that she is Zandies
User :   ie it is caused by lever
Doctor :   janudice
User :   then they analysed and came to know that it is HCV+
Doctor :   liver
User :   it is kannada word
Doctor :   earilier did she have any blood transfusion
User :   no
Doctor :   ok
Doctor :   i will give yu few knowlege regarding hepatitis C
User :   blood tranfusion means she taken blood t her body right
User :   k
Doctor :   yes any blood she has taken or donated
Doctor :   The hepatitis C virus (HCV) is one of the most important causes of chronic liver disease
User :   no.
User :   k
Doctor :   HCV is spread primarily by contact with infected blood and blood products
User :   k
Doctor :   Blood transfusions and the use of shared, unsterilized, or poorly sterilized needles, syringes and injection equipment
Doctor :   having sex with someone with hepatitis C or having multiple sex partners
Doctor :   or drug abuse
User :   if they use condoms then
Doctor :   no if they use condoms it does not affect or transmit
User :   ok
Doctor :   for some cases the reason it self is not identified
User :   no she is not done any of those
Doctor :   OK
Doctor :   do yu have the test reports
Doctor :   or do yu know wat tests has been done
User :   today they will give
Doctor :   ok
Doctor :   she should have done this tests
User :   and they told us that for treatment it will around 8 lacs
Doctor :   1. liver function test
Doctor :   i will come to the treatment part later
Doctor :   let me say about the tests
Doctor :   2. HCV RNA viral load
User :   for test details they are not hand over to us today evening or tomorrow morning they will give us
Doctor :   3. anti HCV antibodies
Doctor :   ok
User :   but they have told it is sure
Doctor :   but make sure these tests are done
Doctor :   based on these test only we can plan for treatment
Doctor :   is that ok
User :   yeah
Doctor :   yes i agree that its a case of hepatitis C
User :   if it is HCV+
User :   are you sure it will be cured 100%
Doctor :   but to plan the treatment we need to know some tests
Doctor :   it cannot be cured completely
User :   then?
Doctor :   we can halt the further multiplication of viurs
Doctor :   so the disease does not worsen
Doctor :   or progresses to liver cancer
User :   is it affecting her life
Doctor :   if she takes the treatment it will affect less
Doctor :   even a liver biospsy is required
Doctor :   some times
User :   liver biospy means
Doctor :   we take a tissue sample from the liver and see in microscope
Doctor :   that how much liver is damaged by the virus
Doctor :   this is liver biopsy
Doctor :   coming to treatment
Doctor :   3 options are available
User :   ok
Doctor :   1. interferons
Doctor :   2. antivirals
Doctor :   3. liver transplantation
Doctor :   the treatment now practised is
Doctor :   24- or 48-week course of the combination of pegylated alpha interferon and ribavirin (antiviral)
Doctor :   Combination therapy leads to rapid improvements
User :   at start how much money is needed
Doctor :   interferons are very costlier
User :   and next year on words how much money needed
Doctor :   it usually in lakhs
Doctor :   Patients with anti-HCV, HCV RNA, elevated serum aminotransferase levels, and evidence of chronic hepatitis on liver biopsy, and with no contraindications, should be offered therapy with the combination of peginterferon and ribavirin.
User :   say first here 8 lacks we hv invested
Doctor :   ok
User :   then life long one year avg cost is it will come arround 3 lacks
Doctor :   yes 3 lacs
User :   if it is initial state then starting year
Doctor :   wat
User :   if it is initial state of HCV then atleast we have 8 lavs for starting treatment right
User :   8 lacks
Doctor :   yes
Doctor :   ok
User :   ohh.. then their is no complete cure for this
User :   even no vaxins available?
Doctor :   liver transplantation is the only complete treatment for the disease
Doctor :   no no there is a vaccine for hepatitis b but not for C
Doctor :   but liver transplantation is very cumbersome procedure
Doctor :   and copmlicated one
Doctor :   its a very difficulty procedure
Doctor :   we can even say that even after liver transplantation the liver can be rejected from our body
Doctor :   hi are yu there
Doctor :   It shows you have moved away from the chat, so I close the window. Please log in again for 24/7 medical help.
User :   hi
User :   for hapatatis C no complete cure
Doctor :   yes there is no complete cure
User :   HCV+ means hepatetis C or B
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