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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Nosebleeds While On Interferon Therapy For Hepatitis-C?

I am currently on Incivek, Interferon, and ribavirin therapy for hepatitis C I have been having to take neupogen shots once per week because of low white blood counts, im suffering with pitting edema in my legs and feet and currently on 40mg of lasix, and with in last two days have been suffering nosebleeds, and now bleeding around my eyeball. what is going on?
Thu, 16 Jul 2015
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General & Family Physician,  's  Response
Welcome at HCM
I have gone through your query and being your doctor I completely understand your health concerns....
Based upon the history you have provided in my opinion nose bleed is due to low platelet count... Do check your platelets levels since in chronic HCV a condition called Hypersplenism occur , in which enlarged spleeen traps platelets and circulating pool of platelets get low. Apart from this interferon Also suppresses the bone marrow which is another contributing factor to low platelet count...
Do consult your hepatologist so that timely appropriate actions can be taken.
Hope your query is adequately answered..
Regards
Dr saad sultan
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What Causes Nosebleeds While On Interferon Therapy For Hepatitis-C?

Welcome at HCM I have gone through your query and being your doctor I completely understand your health concerns.... Based upon the history you have provided in my opinion nose bleed is due to low platelet count... Do check your platelets levels since in chronic HCV a condition called Hypersplenism occur , in which enlarged spleeen traps platelets and circulating pool of platelets get low. Apart from this interferon Also suppresses the bone marrow which is another contributing factor to low platelet count... Do consult your hepatologist so that timely appropriate actions can be taken. Hope your query is adequately answered.. Regards Dr saad sultan