AM I OK IM confussed

[jack4u]

blood rsults are as follows
glucose 99
bun 13
creatine 1.0
age 34
bun/creat 12 L
gfr 91
uric acid 5.0
calcium 9.5
phosphorus 3.8
sodium 139
potassium 4.4
chloride 107
co2 30
anion gap 2
oemolality 277
albium 4.7
protien 7.8
a/g ratio 1.5
sgot/ast 396 H
ldh 270 H
sgpt/alt 946 H
total bili 1.1
alkaline phos 109 H
cholesterol 134
received this set of blood works also..
HCV RNA,QN,BDMA/TMA out of range 1642000 H
HCV RNA,QN,BDMA/TMA out of range 6.22 H
any clues or info I would appreciate
tell me what this is suppose to mean,And tell me if there is any cause for conserne.My doctor ordererd a  third set of blood works but im still waiting for her to get back from vacation.She also ordererd a full abdomanal scan..Thanks

[NYgirl]

LOL yes I'd say that is a given LOL your straight on forthrightness made me laugh so hard.

Yes I'd say it's hep C too. ;)

[GrandOak]

I agree with Jim.  Looks like HCV to me too, with liver enzymes which are pretty high, and that the additional tests are to type and determine the actual viral load.

As I understand it, the ultra-sound are used to determine if there are lesions and swelling of the liver and other organs in the adominal area.

You doc will probable also want to order a biopsy as well to properly determine the grade and stage at which you are at as well before beginning tx.

[NYgirl]

You are having definite problems - your liver enzymes are QUITE elevated for sure.  Mine were considered very high and were only in the 200s - and it appears yours are in the 300s and 600s.

You need to get a good doctor, either a GI or a hep specialist ASAP and talk to him.  You will need an ultrasound and a biopsy to determine the amount of liver damage you already have after you have a test called a PCR which will tell you how many virus you have currently.  Once they get all these little pieces in place, you can make a decision on whether you should treat or not immediately.

We understand what it's like to find this news out = believe me.  But that's a good thing because we also know what it's like not to understand and this is a great place to start to learn.

Knowledge IS power with this disease and nobody cares more about you than you do...so ask away, it will help a LOT.

Best of luck

[jmjm530]

Just to clarify NY's post a little. You already have gotten a Viral Load test (PCR)== it's the HCV RNA,QN,BDMA/TMA test you posted, so you don't need it again. Also, liver enzymes are not linear so for example ALT 600 is not twice as bad as ALT 300, furthermore, at any point in time liver enzymes do not correlate with liver damage, so I wouldn't let that alone concern you. As to biospy, first find out your genotype and speak to a good liver specialist to guide you.

[jmjm530]

Forgot to add that the stomach scan you spoke about is probably the ultrasound NY Girl mentioned. You might ask your doctor about this.

[bobbyullc]

WELCOME, YOU ARE IN THE RIGHT PLACE. YOU DEFINATELY HAVE HEP C ACCORDING TO THE TEST AND THE ALT AND AST INDICATE SOME POSSIBLE LIVER DISFUNCTION. BOTH RATHER HIGH.
THE GOLD STANDARD IS YOUR STAGE OF LIVER DAMAGE DETERMINED BY A BIOPSY. IF 0 OR 1 OR PERHAPS 2 YOU MAY HAVE YEARS TO WAIT FOR BETTER TREATMENT IN THE WORKS. IF 3 OR 4 YOU MAY NEED TO START TX PRETTY SOON.
MOST IMPORTANT IS THAT IT IS A SLOW MOVING DISEASE AND NOT TO MAKE ANY SNAP JUDGMENTS WITHOUT RESEARCH. ASK QUESTIONS.ALSO AS JIM MENTIONED GET YOUR GENO TYPE TO DETERMINE HOW LONG TX WILL BE 24 OR 48 WEEKS.
DO NOT PANIC AS 4 MILLION IN THE USA HAVE IT.

BOBBY

[can-do-man]

With a viral load of 1,642,000 Then i think its safe to say hcv

[OnAPrettyPoison]

On the bright side, your cholesterol looks great!  Welcome to hurry up and wait world of hepatitis C.  Have they scheduled you for a liver biopsy?  That is the gold standard to determine liver damage.  You need to ask for one - it will help you make an informed decision on whether to treat or wait.  Also check out the www.janis7hepc.com sight.  They have a section on the blood tests that might help you.

[goldyn]

One good thing is even though you liver test are high you total billirubin is ok is still in range, and your albumin serum is good that seems to go  lower with liver damage, were as the billirubin will go higher with more liver damage, i would get a biopsy to see where your at, thats the only true way to really know, and welcome and good luck please keep us informed as you go from test to test.....

[jmjm530]

It appears you have hepatitis C like just about everyone here, past and present.  The other tests she ordered are probably to find out your genotype. Genotype is the  particular strain of hepatitis c you have. Genotype 1 is the hardest to treat -- about 40-50% success rate -- but also the most common in the United States. Not everyone with hepatitis c had to treat right away. A lot has to do with your genotype, age, how much liver damage you have, general health, motivation and philosophy of treatment.

While you're waiting to find out your genotype -- unless you already know -- you can start doing some indpendent research here and elsewhere on the topic. Like Sy Simms the ole' suit pitchman used to say -- an educated customer is the best customer.

You might also want to seek out a liver specialist (hepatologist) if you already haven't. They tend to know more about hepatitis c and the various treatment options.

All the best.

-- Jim