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Cirrhosis turning to cancer, persistent hepatitis c - 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 : 675 Questions
Doctor :   Hi
User :   Hello.
Doctor :  
How can i help you?
User :   Well please bare with me as I tell you my problem.
Doctor :  
Doctor :  
please proceed..
User :   I'm not sure if I have chatted with you before but I have been diagnosed with Hep C one year ago.
Doctor :  
User :   I'm a 32 year old female who lives in Sweden but was borne in Poland. I have never taken drugs, done alcohol, have had a blood transfusion or even smoked in my life...
Doctor :  
User :   Never had a blood transfusion I meant to say. My blood work my doctor say's are very good, my liver fuction is as well very good but after undergoing a biopsi, she has notified me that I have cirrohsis.
Doctor :   ok
User :   She warns me that the treatment which is 48 weeks will be grueling but only 30% affective.
Doctor :  
User :   I'm on a healthy diet and have shed over 20 kg in four months. The only medicine I take currently is Zoloft for my depression, Levaxin for mt thyroid and Lergigan for anxiety.
Doctor :  
User :   I'm very afraid and puzzled by my condition and what the best possible advice you can give me as an doctor with my condition. I'm afraid that the cirrhosis can develop into cancer.
Doctor :  
yes i shall help you in this
Doctor :  
first you need to confirm whether the hepatitis c infection is persistent or not
Doctor :  
that is done by a blood test
User :   ok, go on please....
Doctor :  
the chance of cirrhosis developing to cancer is possible only if the infection persists
Doctor :  
so if you have been cleared of infection than the chance of cirrhosis developing to cancer is very much low
Doctor :  
as such the success rate for treatment of hepatitis c infection with medications is more than 50%
User :   what kind of blood test, what is it called so I know what I should say.
User :   You still there doctor?
Doctor :   it is a blood test for the detection of Hepatitis c virus in the blood
Doctor :   presence of hepatitis C virus antigen in the blood
Doctor :  
PCR TEST FOR HCV to tell in lay man terms
User :   The doctor I'm going to is head of Gastro here in Stockholm,Sweden but she is very elusive and not to the point. I dont really trust her
Doctor :   may i know what all tests have been done to determine that you have hepatitis c infection?
User :   Another question, does one have to take a biopsi to see the state of the liver condition, is there any other way ? I don't really know, blood tests and urine test
User :   to see the damage?
Doctor :   yes it is necessary to take the liver biopsy to asses the damage caused to the liver

User :   please wait....
Doctor :   ok
User :   My question is about the liver. Lets forget about Hep C, can the doctors see if my liver is in good or bad shape without biopsi?
User :   Because, she tells me that my liver is in good shape today and the blood work is good but then she slaps me with the cirrohsis diagnose which she doesn't inform me of if I hadn't called her and asked about the results...
Doctor :   there are alternatives like ultrasound, and fibro tests to know the condition of the liver
Doctor :  
but liver biopsy is the gold standard
Doctor :   i shall explain you this
Doctor :  
liver is an organ which can function normally even half the liver is diseased
Doctor :  
so the blood test may be normal and liver function tests also may be normal even though the liver is diseased and damaged
Doctor :   in this situation the liver biopsy only will reveal the diagnosis of cirrhosis
User :   I don't have a lot of faith in my doctor who is Polish but is head of Gastro here in Sweden. She knows my condition, declares that I have cirrohsis but doesn't notify me before I got in toouch with her. I called and asked about the results and then she told me..
Doctor :   ok
Doctor :   so are you thinking to change your doctor?
User :   Is it curable, I mean if I get the best treatment is avilable and watch my diet and stay from alcohol, what is my outlook. ?
Doctor :  
it is curable
User :   Yes, I want to go the Karolinska Institute for a second opinion.
User :   That's why I dont trust or feel safe with her. She tells me that the treatment with injections and medicine is only 30% affective, and that my condition is uncurable. I'm afraid and puzzled.
Doctor :   the disease is curable with treatment
Doctor :  
and if the liver damage if at all necessary can be treated with a liver transplant
User :   That's very assuring. What is the best advice you can give me doctor. What medicine/foods or and drinks should I avoid.
Doctor :   avoid alcohol

Doctor :  
and as such there is no restrictions in food
User :   Can the cirrohsis develop into cancer? I don't want to be waiting for a time bomb if you know what I mean. Another doctor which I chatted with online today told me to stay away from raw shellfish and drink coffee
User :   No suger or fatty foods, correct?
Doctor :   yes
User :   Can the cirrohsis develop into cancer, I dont want to be waiting for a time bomb. Is there a test that can tell me if I have it or not?
Doctor :   no there is no test to predict the cirrhosis developing to cancer
User :   but what are the chances of it developing into one?
User :   Time will tell, or what?
Doctor :  
but as i told if the hepatitis c virus infection is cleared than the cirrhosis will halt and it will not develop into cancer
Doctor :   the chances of cirrhosis developing to cancer with persistent hepatitis c infection is less than 20%

Doctor :  
and if without hepatitis infection it is less than 1%
User :   Ok, one last question. Over the counter medcine/drugs. Can I take diet pills? The one I'm thinking of is called Diet Caps
Doctor :   yes please
User :   Can I take them,
User :   ?
Doctor :  
its better you avoid these at present stage
User :   ok. So its a big NO, right?
Doctor :   yeah
User :   Its risky?
Doctor :  
yes it will be risky
User :   Thank you so much for all your advice, have a great day...
Doctor :   please fill the feed back form
Doctor :   have you filled the feed back form
User :   So if I take them for only 10 days or so, they will do harm?
Doctor :   as such the liver status is not ok
Doctor :  
better to avoid it now
User :   ok. Thanks again
Doctor :   thanks for consulting health care magic

Doctor :   bye for now
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