Hepatitis C Test Results

  : : : : My  Liver Profile A and HCV RNA, PCR,Quantitative test results are as follows:
  : : : : Bilirubin Total/Direct 2.0/0.59 mg/dL
  : : : : ALT 55 IU/L
  : : : : PCR 615.23 X1000 mL
  : : : : All other reults within normal range.
  : : : : Apparently I have had Hepatitis C since the early 80's.
  : : : : While I understand the implications of Hep C and am scheduled to see a Gastroenterologist, my family practitioner feels that the disease has not progressed to a dangerous level and I should be hopeful.
  : : : : Your Impression?
  : : : Dear Chris,
  : : : Hepatitis C is currently one of the most common causes of chronic liver disease in the United States. The quantitative hepatitis C RNA by PCR confirms the presence of active viral replication. It is impossible to state with certainty where you are in the spectrum of liver disease based on the level of the hepatitis C RNA or based upon the level of elevation of the liver enzymes. A liver biopsy can define the presence of inflammation, detect scar tissue, look for cirrhosis of the liver and to rule out other causes of liver disease. A liver biopsy is a test where a needle is inserted into the right side of the abdomen and a small piece of tissue is sent to lab to be analyzed by a pathologist. When you see your gastroenterologist, he or she will be able to discuss this test with you in more detail.
  : : : Nonetheless, most patients with mildly elevated liver enzymes and good overall health without symptoms or signs of liver disease have mild inflammation and/or small to moderate amounts of scar tissue present. Few patients have cirrhosis already present on the initial liver biopsy. Furthermore, there is treatment available with alpha interferon that helps reduce inflammation and may even clear the hepatitis C virus (10-40%). A lot of research is being done to try to develop new medications to help treat hepatitis C. You should be hopeful. Good luck with your appointment.
  : : : This response is being provided for general informational purposes only and should not be considered medical advice or consultation. Always check with your personal physician when you have a question pertaining to your health.
  : : : If you wish to be seen at our institution please call 1-800-653-6568, our Referring Physicians

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