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can you help me interpret Hep C results?

I just found out I have Hep C.  My doctor ordered a lot of blood tests.  I got the lab result for HCV RT-PCR.  It reads

HCV RNA (international Units) 10006000 IU/mL,

HCV log10 7.000.

I also have one that is a LFT Hepatic Function Panel, the AST value is 49 and the reference range is 0-40.  The ALT value is 60 and the reference range is 0-44 IU/L.  All others are within nornal range.

I go back to see my doctor two weeks from now.  What does this all mean?

2 Responses
2059648 tn?1439766665
HI and welcome to the forum.   HVC PCR test has verified you have a viral load.  Means its verified you have Hepatitis C.  Some people clear the virus on their own and only test positive for Hep C antibodies and don't have a Hepatitis C viral load.  Your liver function values ALT and AST are above normal.  This can be connected to your Hepatitis C.   Your doctor will most likely advise you to get additional test to confirm the current condition of your liver.  Remember there is huge advancements in hepatitis C treatment.  I have had hepatitis C and am now cured.

Let us know the results of your doctor visit.

Best to you
1815939 tn?1377991799
Welcome to the forum.

HCV RT-PCR.  It reads

HCV RNA (international Units) 10006000 IU/mL,

HCV log10 7.000.

This means that you do have a viral load of 10,006,000. The log form is the same result but in log format.

If you have a viral load, you have Chronic Hepatitis C.

I am sure that 10,006,000 sounds very high, but don't let it freak you out. Many of us had much higher viral load numbers and we are now cured. Mine was 14,400,000. Viral loads fluctuate from day to day. The viral load is mostly used to gauge if and how one is responding to treatment.

While your AST and ALT are elevated, they are not drastically elevated. These tests can be elevated for a variety of reason, but since you have Hepatitis C your elevated numbers most likely do relate to the Hepatitis C. AST and ALT don't really tell you much about how much damage you may have in your liver. You will need further testing to determine liver damage, if any.

You will also need further testing to determine Genotype. The treatment will depend on which Genotype you have.

After you have completed all of your testing, your doctor will discuss the type of treatment which is best for your Genotype. There are very effective treatments for Hepatitis C. The cure rate is now very high with these new effective treatments. The treatments also are much shorter and easier to do than previously.

You should be seeing a doctor who is competent and experienced in treating Hepatitis C. If you have no complications, then a Gastroenterologist would be the type of doctor you would see. If you have complications or Cirrhosis, then you should see a Hepatologist.

Best of luck.
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