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question:I am 38 years old. I gad hep c genotype3a. Elevated liver enzymes. Normal bilirubin,albumin and INR. USG suggested mildly coarse liver. I took six months course of peg ifn n ribavarin. Viral load decreased five logs after 4 weeks but it is not negative at end of treatment. Now two months after end of treatment i m having pedal edema. Please suggest.
answer:Hi, I have gone through your reports fully. I like to say that you have taken the appropriate treatment and follow up. Your worry is the results are not negative and you have pedal edema. Pedal edema is usually associated with your problem. I like to explain certain world statistics about the prognosis. Out of the 190 patients, 155 (81.6%) achieved End of Treatment Complete Response (EOTCR) whereas 35 (18.4%) were nonresponders (NR). These 155 patients, who showed complete response were followed for six months after the treatment to assess sustained viral response, which was seen in 112 (72.25%) patients whereas 43 (27.7%) were relapsers. So a periodical consultation + symptomatic treatment is advised. Best wishes Hepatitis C virus (HCV) is leading cause of chronic liver diseaseThe relative prevalence of HCV genotypes varies with the geographic area but genotypes 1, 2 and 3 have worldwide distribution. HCV 3a has been the predominant genotype (causing disease in 62% - 70% patients) in Pakistan based on the last ten years data
question:Hi, I ve had many various symptoms of liver cancer .. I went to the hospital and got my blood tests done then I found out today that they re all fine. But I m still worried as to if the blood tests are clear but there still is something they haven t found. The pain I m going through is unbelievable and the symptoms or exact. I just want to know if I should stop worrying or if I need to get a ultrasound scan or anything else
answer:Hi and welcome to Healthcare magic. Well, i suggest to do ultrasounds,this is quick and easily performed and there can be not just liver pathology but galbladder or pancreatic as well. Liver cancer symptoms are late sign of disease so I am sure that you would have abnormal liver function tests if there is a cancer. So dont worry about this. Thank you for your querry.
question:Hi,I was diagnosed with hepatitis A five weeks ago, at that time my SGPT 2063 u/l, SGOT 455 u/l, total bilirubin 7.2mg/dl. I have been checking my blood every 5 days and there has been improvement. currently SGPT 105u/l, SGOT 56, bilirubin 9 mg/dl. my concern is why my bilirubin going up? I would expect the number to go down while I am recovering. Also my SGPT and SGOT have been fluctuate in the past three weeks. Last week my SGPT 65 and SGOT 40, is this something alarming? I have checked with three specialist (Gastroenterologist and Hepatologist) and they all didn't seem too worry about my condition, they said I will fully recover. My family are so scared because I am so yellow (jaundice) and they don't let me near my child, afraid of contagious. It has been very challenging these past few weeks for me and my family. My family have been watching my food diet, I can only eat soup, porridge, and steam fish and vegetables. In the meantime I lost 15lb and still feel nausea with no appetite. My recovery seems to go pretty slow, am I doing anything wrong? Please help...
answer:Hello, There is no effective drug treatment of hepatitis A since it is a viral disease. So as with any other viral diseases,the affected individuals should avoid contacts with others,take plenty of fluids,and take rest. Since the stool remains very contagious for several weeks into the illness, they should be extra careful with bathroom hygiene. If possible, a separate bathroom should be set aside until recovery. Separating eating utensils may be of benefit. Most of he people suffering from hepatitis A recover completely in 5 to 6 weeks time however around 10% people may have prolonged waxing and waning illness that may last as long as 6 months. There is no chance of this problem becoming chronic and once a person recovers from it,he never gets it again in his life. Your temporary increase in bilirubin levels is Normal and should not be worried. Relax,soon you shall be all right.You are not doing anything wrong.Nausea and loss of appetite shall be allright soon. Avoid alcohol. Thanks
question:Hello Dr. I am devi here from Bangalore , from past 15 days i hv a pain down to my chest and above my stomach i.e the middle portion , in the beginning i thought it is gastric as the symptoms was as of that . But after hving medicine for gastric i dont hv any relief, then i went to Ayurvedic dr , by one touch and asking all the sysmptoms he suggested it is gall baldder stones, and gave me medicine for that , after hving that from the 3rd day i was completely out of that pain but that was just for 5 days then again the same pain has started. what should i do. i hv decided to go for a scanning , but dr pls. can u guide me regarding this. I am 42 yrs now., Thanks & regards
answer:Hi and welcome to Healthcare magic. You should do ultrasounds first to evaluate is tehre any gallbladder stone or hepatal pathology. Also pancreatic disorders can cause such pain. Till that you should change your dieatry habbits and eat easier food,avoid coffee,alcohol and smoking. There are certain medicines for gallbladder issue but it isnt very sucessful so the surgery is the best option if indicated. Thank you for your querry.
question:HI, I had viral hepatites in 2004. When i got my general health check up in 2011 2 parameters in LFT were abnormal, i guess SGPT. And an US scanning reveled a mild hepatomegaly with fatty changes. Later i consulted a doctor(gastro) he tested me for Hepatites B and other test and said its ok and nothing to worry. now i want to know if it may give some problem in future? Vijayakumar.
answer:Hi and welcome to Healthcare magic. You didnt mention which hepatitis idi you have. If it was C or B then you are probably still infected and virus can be activated at any time on your life or never. YOu should do frequent LFT check ups and liver ultrasounds. Fatty changes arent caused only by virus. The most common liver disorders is fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. YOu should treat it by changing dieatary and lifestyle habbits. Do exercise, avoid alcohol,smoking, fats,fast food and carbonated drinks. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be presribed. Wish you good health. Thank you for your querry.
question:Hi,my name is Fidel..I am 25yrs old and I have been peeing regularly and I want it to stop.I don't think I have an infection but I think it due to the amount of water I drink during the day and sometimes at night I could drink up to 5 glasses of after inbetween my sleep and when I end up not drinking I get dehydrated and I'm unable to sleep.I just need your advice on what to .
answer:Hello, thanks for posting the question to H.C.M. Forum. Mr Fidel after seeing your history I reached a conclusion that following reasons may be the cause of your trouble as, 1 Anxiety due to any reason. In this type of situation you have to pass frequent urine and when you will pass urine , it is bound to have dehydration , so need not to worry. 2 Suppose there is no anxiety than please get in blood examination for " SUGAR " and urine examination for complete as for pus cells , R B Cs , Albumin, sugar. Consult a physician and deal accordingly. Good luck Dr. HET