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    What is the life expectancy for liver fibrosis and morphology of cirrhosis?

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Posted on Thu, 13 Nov 2014 in Digestion and Bowels
Question: i have f4 liver fibrosis and cirrhotic morphology of the liver - what is the prognosis for treatment and life expectancy? do i need a liver transplant? is this a death sentence?
doctor
Answered by Dr. Samir Patil 1 hour later
Brief Answer:
need more information

Detailed Answer:
Hello,
I would like to know a few more things before I can give you a proper answer.
1 I would like to know your liver function test report
2 Creatinine and sodium report
3 what is the geno type of hepatitis c
4 have you ever experienced swelling over feet or fluid in your abdomen
5 have you ever experienced abnormal behaviour or coma which was attributed to hepatitis c
6 are hepatitis b and HIV negative
7 what are hemoglobin and platelet values
8 are you on any other meds
I know it is a long list but most of this information is necessary to give a proper answers to the questions you have asked.
Do get back
Regards
Dr Samir Patil
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Samir Patil 39 minutes later
Foremost - thank you so much 4 ur response
geno type hepatitis c is 1a
yes swelling over feet and no fluid in abdomen
no abnormal behavior or coma
only hep c - i do not have hep b or hiv all negative
platelets count as of 9/10/14 was 98
hemoglobin 16.3
only medications are diovan for blood pressure - i do not take anything else except standard multivitamins
creantinine,serum is 0.56
hepatitis c quantitation is 811,630
hcv log10 is 5.909
sodium,serum is 136
albumin,serum is 3.5
bilirubin,total is 1.5
ast is 131
alt is 158
lipid panel is all normal
AFP serum,tumor maker is 8.9
GGT is 74
all cardiovascular tests are normal

thank you so much, I look forward to ur response


doctor
Answered by Dr. Samir Patil 5 hours later
Brief Answer:
Do not need liver transplant

Detailed Answer:
Hello, You have advanced fibrosis and raised enzymes with a high vira load.
Your cirrhisis is well compensated.
You need treatment for hepatitis C.
The 10 year survival is to the tune of 76 percent. In case the liver disease becomes decompensated - jaundice, fluid in abdomen or coma develops the it falls down to 50 % at 5 years.
You do not seem to be a candidate for liver transplant at present.
You can consider treatment with pegylated interferron with ribavarin. Th treatment response rated are around 30 - 50 percent . High fibrosis scores and high viral load are indicators of lower response rates.
In case Sofosbuvir is available in the area where you live then it is a good option as the response rates in genotype on approach 90 Percent
Hope this helps
Do get back in case you have further queries
Regards
Dr Samir Patil
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Samir Patil

Gastroenterologist

Practicing since :1997

Answered : 549 Questions

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