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Hepatitis A. Topics in this forum include but are not limited to, Causes, Diagnosis, Family and Relationships, Living With Hep A, Research Updates, Treatment, Success Stories, Support, Symptoms.
Have to admit though one of my main objections to do treatment and to hopefully reach SVR was so I could drink wine again! I am a lucky one that caught this within 2 years of contracting it and I am told no permanent liver damage. I am a genotype 2 with a Rapid Virologic Response so I hold a lot of hope that the buggers are gone. This is my last week of 24. If I relapse, I guess I have a 6 month jump on living without alcohol. It helps with the weight loss that's for sure!
Normal to grieve, not shallow and don't worry about it. Giving up one of lifes little pleasures can be hard but it is doable. You will see your priorities shift.
You may already know your genotype, and that of course is important. Best advise I can give you is read all you can, ask all you can and evaluate your doctor closely. Stay on this forum, it is fabulous and the people here so full of information.
I read somewhere that this disease should be called Hepatitis W and I agree! We WORRY, WONDER WAIT AND WISH.
Be strong, hopefully this can be put behind us eventually!
Pam
Anyway, how long you have it may impact any damage. The biopsy will tell you if there is damage.
Also, as said earlier, your genotype will also impact your chance of clearing.
You mentioned a trip to Italy. May want to start treatment after the trip. It did not do much to me, but everyone is different and just will not know how they will react to the drugs. I have not missed one day of work and am taking a cruise next month to celebrate the end of treatment.
Please let us know next week what you find out. Everyone here is rooting for you!
Pam in Sunny Florida!
I am a geno 1a, grade 1, stage 0. I also mourned the life I left behind for this new life as someone with hepatitis c. A long time lover of sauvaginon blanc-I can relate to that as well! :-)
It gets better as time goes by. In many ways my life-tho different-is much richer than before. There really are much worse things in life then this.
Learn as much as you can. Get copies of all labs/reports. The people here will give you excellent input and support to help get you through all this. There is another list of questions to ask your doc in the archives, but I haven't had a chance to find it yet. I will post it if I do.
Genotype and biopsy results will give you the information you need to begin.
Here is the advice I was given:
To get prepared for tx, remember that once you start your Ribavarin you need to eat it with fat. Avocados are good, ice cream was Sooooo good and I ate it like crazy to begin with. Didn't feel like eating anything else for awhile. Ribavarin needs to be eaten with fat, quite a bit of fat to be absorbed, so think about that before tx. get something you like to eat to put in your fridge. You may not want to go out much once tx starts.
Hair color is not something I would worry about too much. I didn't even care after while. I did have my hair colored towards the end of tx and I usually have light streaks. Bleach isn't good. Tell your hairdesser you are on chemo. they won't put bleach near your roots.
Sometimes, your skin gets a bit aligator like, so something like bath oil or a mositurizer is good! Same for your hair! Heavy duty one! Gold Bond Medicated seems to be mentioned alot here as one that works well.
What else was there?....stomach...I had problems and used tagament and then the script for Aciphex. Headaches, migraines....if you are prone, get a script for something for pain. Usually something you already have can be exaserbated on tx.
A heating pad or lots of blankets for the chills is a good thing to have around. I remember my first shot. It was 80 degrees and I was freezing! I had my daughter in law pile a ton of covers and get me a wool hat! That was the only time that happened!
Toothpaste can start to make your mouth burn. Sensidyne helps, as well as a soft toothbrush.
Don't fret about hair falling out in the shower...Hang it up on the wall..Make something creative..kidding, but not. You don't want it down the drain, as you will be calling roter router out several times! Better to hang it on the walls! LOL
Get a pill box so you never forget those Riba's and as time goes on the other things you may take. It is so easy to forget on tx.
Okay, now that I have scared you all to death...don't worry, you will be fine!!!! LOL
Seriously, you will be great. Keep posting and asking questions.. Good luck to all!
Sorry this is so long, but sometimes just knowing what to expect helps. (i hope!!) Please keep us posted.
Izzy also in Sunny FLA :-)
Can't wait to get on tx .... lol
Marcia
Where do we sign up...........hehe!
Isobella is right....you do need to plan and things will go better. As they say, plan for the worst and hope for the best. A positive mental attitude can't hurt!
Pam
Find out if it will be weight based Riba (we want it to be weight based)
How often will they do PCRs. Will he do a 4 week and if UND how much longer will you go.
Ask for a standing order for a CBC so you can check to see if your HGB and WBC are high enough. Riba can cause them to drop.
What about rescue drugs. Will they give you procrit or neupogen if your HGB/WBC do fall.
Problems sleeping-will they give you anything. Pain from the neupogen-what will they give you.
Should you start on an antidepressant befre tx?
Stomach upsets from the meds-what to take.
Ask about tylenol as well as any interactions meds you are currently on may have with tx/rescue drugs.
Will they do baseline tests before starting tx???
Who teaches u to administer the shots?
When is the first appt after starting tx?
Eye exam before treatment? Very important apparently.
Get copies of all labs.
That's it. Just having this in my hand for the first appt really helped keep me focused and led our discussion. I brought it with me to my family doc also. She was so helpful-I bet I left there with 5 just in case prescriptions in my hands!
With all that having been said-I will hope that when u get there they will tell you they made a big mistake and you can celebrate with a bottle of fine vino!
I like that-plan for the worst, hope for the best!
Isobella
dang, that was alot of typing-I think I am reved up from coffee,sorry! :-0
Peace to you all...
Debbie, hang in there and try to keep your humor... That's one of the best weapons we have to 'slay the dragon'
Marcia
god bless
almanu
Make it a great day!
I have no idea of how much liver damage I have or don't have. The new gastro ordered an abdominal ultrasound which I will find out the results on the 30th, I hope that does not show anything crazy abnormal. He also ordered a bunch of other tests that I had never had done.
I wish I had found this board a year ago so I think you are in the right place to get opinions on your questions from people that have "been there".
I also like the idea of getting copies of all test results, I have none but I will after next week.
Now it is time to head out in the field to bring out one of the ponies or horses (whoever is easiest to catch) and brush out some of the winter coat, and clean burrs out of the mane & tail.
Another in sunny Florida
I do have a question, will the Doctor be able to tell how long I have had this?
There are many new treatments available that will shorten the duration of treatment and improve your odds of a SVR (sustained viral response).
I have it since 1961 and I treated 8 times since 1989 when I first discovered what was wrong. I relapsed after each treatment until I entered a trial with Telaprevir, a protease inhibitor made by Vertex Pharmaceuticals. Today I was given my blood test results after 4 weeks post treatment and the virus is undetectable. My doctor said he is buying me a drink after my 12 week test shows I am SVR!
I lived with this for 47 years and drank too much for the first 27 years I had the disease. I stopped drinking altogether when I found that I had HCV.
Good luck to you and enjoy your life. It will be long and happy even without wine for a couple of years.
Eric
You are going to be MUCH more than ok! I am glad to hear you are having a better day.
I have to say that the last 3 -or so -posts are from some of the "creme de la creme" of advisors. Now that I have probably mangled 3 langauges-what I mean is:
FLGuy-your humor is the best
gauf-your diet/supplement list is the best
Andiamo- YOUR SVR IS THE BEST OF THE BEST!!!!!!!!!!!!!!!!!!!! :-) :-) :-) :-) :-) :-)
Isobell
Today was surreal, my Doctor was busy and distracted... he talked quickly and just did not give me as much information as I had hoped for or maybe he just did not say what I wanted to hear.
Next step is to get vac for a&b (can anyone tell me how that is) and get on anti-depressant ( I have had depression before) and I guess just wait until I get back from my trip (try not to carry the dark cloud with me) and look forward to a summer of treatment and all the fun that goes with that. Boy am I grateful for this site...I have learned more here then any place.
One more thing that really freaked me out today. From everything I have read and from what i have gotton from this web site is that this is blood transmitted virus, today he said that it is a fluid transmitted, why am I confused? I mean can I pass this to my husband just by kissing? I felt like I was kicked in the stomach... If there is no blood I feel pretty good about not giving it to him ( he is going to get tested this week, there is another thing to stress about.....praying that he does not have it...) The Dr. did say that he did not think we needed to change and of our sex habits.... Thanks to all you have responded to me....it means the world, this is my lifeline and I could not have really had a full understanding of the appt today if I had not been here. Peace
I know it is hard, and it is tough news, the sooner you start treatment the more you will feel like you are working to recover. I am not sure about contemplating going into a trial, others might address this.
You will get through this. Mary Ellen
I am hoping someone can address some of the other questions I have asked in the previous post... Thanks to all and make it a great day!
Is your doc a hepatologist? My RA doctor gave me my results and also seemed aloof-I think it is because they are not as versed in hep and do not want to give incorrect information.
The vaccines for hep a and b are nothing more that a shot. For me anyway-no sx at all. You have to go back a month or so later for the 2nd hep b shot.
It is definately blood to blood transmission. I may mangle some facts, but I think as long as you are in a monogomys (sp) long term relationship the risk of transmission is really low. Something like .03%?? My husband and I have made no changes in that department :-)
The anti-depressant will really help. I've never taken it til now-and I am so glad to have it!
I will be treating over the summer as well-and the winter too.
I am not sure about the bridging-but I know that while you are on tx, your liver gets a break-possibly a post tx biopsy to assess??
It can be a lot to deal with right now-but there are so many worse things out there than HCV. You are a geno 2 with an excellant chance to rid yourself of this thing.
You can do this. Wishing ya the best!
I will be asking lots of questions... Has anyone been in a support group, like in person? I cannot seem to find anything like that around where I live.
Deb
hep b shot---the second is no sooner than one month after the first and no sooner than 6 months after the second. After the shot, the nurse told me to massage the area to distribute the vaccine. It was no where as bad as the tetenus shot I had 3 years ago.
My hubby got tested and was negative, we have been together (monogamus) 20 years this past march.
I wish that I would have switched gastro much sooner than at the end of tx but It was something that I just could not get up the strength to do, but my first one was just as you described yours to be. My new guy takes time and even listened to my heart, lungs and other things that my first dr did not do.
Good Luck
Thanks for all the good information, you and this site are my lifeline right now. Oh I am going to get on a anti-despressant sooner then later. I don't feel depressed right now but I have suffered from it in the past so don't want to take a chance.
Hubby is getting tested, I pray that comes back negative..
So questions I would have for your weight ... does the second doctor agree with your prescription. Do they want you to lose some (i had to) Second, when do they take viral load tests and is the most current version? Do not wait until week twelve to see if you have cleared the virus. The longer your body is clear of the virus on medication, the more it has a chance to be SVR.
I am quiet about what you are going through. I am still going through it, just having completed treatment. I am waiting for my results, but I am living a great life with alot of worry hanging over my head. But oddly, happy non the less.
I think in hindsight you will proud of handling this difficult time. At a minimum it will make you more compassionate to others challenges, I thought I was before, but more so now.
Do you are anyone have any input on my numbers? I think the one thing that is making me the most crazy right now is not really knowing what I can do at this point to help my liver. I know not to drink and I am taking some supplements but only a few for fear of stressing my liver even more and the other question is if I clear the virus will I be able to live along healthy life... I think doctor's do such a disservices to people when we are faced with things...they just say this is what you have now go deal with it. Everything I know I have learned from this site or read someplace esle. Right now this is the only site I go to and it is a lifesaver in so many ways... most of just knowing that you are not alone it hugh.
Also, no matter how sick I was I cooked dinner just about every day. Healthy foods--roasted veggies in olive oil with a garlic rosemary seasoning, salads with good seasonings dressing, no cream dressings. multigrain bread, lots of fiber, bran cereal (the hard nugget kind) w/yougert instead of milk, oatmeal, fresh eggs (I have chickens), a 4-h raised pig for the pork, not very much red meat, lots of chicken, well cooked fish, brown rice, good grean lettuce not the head lettuce-no vitamins in there. switch to decaf coffee (that was hard) lots of green tea that I brew.
BTW I was ready to kill for a pizza. BUT I also developed a sweet tooth that has not gone away (not healthy) I made up a mix of grinded almonds, flax, oats, whole wheat flour, added an egg and honey, cinnamon & Made batches of cookies. The only fruit I could eat was bannanas.
I guess it helped according to my dentist. She was impressed yesterday that my teeth were not destroyed. Word of advice, get your teeth cleaned before tx
Denise
I thought that because my last test was und it meant that I was svr. I am beginning to realize that the 2 are not the same at all.
Denise
I want to introduce myself to everyone but haven't found a place to do this. I have so many questions, one being, why can't I keep coloring my hair? How can I work with roots growing out for a year?
Regarding your job, I have read by many people here who were able to work thru tx.... I think from what I am learning everyone is different in the way they react to tx.... I am hoping for the best I to need to work, I am lucky that I work in a very understanding place and I know that I will have lots of support... I only have to do 6 months.. It helps for me to hear that you doctor said it was ok for you to wait to start treatment. I am type 2 which is good but I do have 2-3 liver damage. I just keep freaking out thinking this virus is having a party with my liver..... this sucks and I have had my pity parties..if anyone wants to borrow my decorations I am happy to share...
I think you can color your hair I just think you have to be careful and not use bleach... maybe someone esle can shed light on that subject. I may just go out a buy myself a fun wig if it gets to bad.... I have always had issues with my hair and I am sure this is not going to be easy for me to look in the mirror and see if less... I think if your doctor is recommending treatment you may really want to give it a go, if it got really bad you could always quit... from what I have read at least while you are treating you are giving your liver a break from the virus.... and if you get rid of it you can sleep at night... I know that the amount of damage is a considering factor when it comes to treatment...Wow look at me almost sound like I know what I am talking about, if I have said anything that is not right I hope someone will let you and me know.
I will keep in touch with you, I know I can feel so alone at times....
Try this one, in the heat of the summer......keep in mind the hot flashes that go with menopause.......wearing gloves, a long sleeve shirt, and a wide brimmed hat........talk about sweating like a pig. The sun brought out giant blisters on my hands (porphyria PCT). That was the begining starting last April. Sometimes if you don't laugh ya go crazy.
Denise