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Doctor insights on: Chronic Hcv Infection

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Dr. James Dukelow
9 doctors shared insights

Infection (Definition)

Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more


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How many days after infection with HCV to be detected with pcr?

How many days after infection with HCV  to be detected with pcr?

The RT-PCR for HCV: Can be positive within days, 7-10 or so, after exposure, in comparison to to 70-90 days or so to develop acute disease symptoms. Many cases of acute hcv are silent. ...Read more

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What should persons with HCV infection do to protect their liver?

What should persons with HCV infection do to protect their liver?

No Alcohol: The best thing that can be done is to not drink any alcohol. Also, there is some data suggesting that regularly smoking marijuana makes the liver disease worse. Being overweight can cause fatty liver which can also contribute to worsening hcv. ...Read more

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When is a cut/wound sealed? If you pick a pimple and it bleeds but then stops. At what point is it protected from infection like HCV if contact blood?

When is a cut/wound sealed? If you pick a pimple and it bleeds but then stops. At what point is it protected from infection like HCV if contact blood?

Skin injury: The answer is in stages. the first stage is stop bleeding. It has some protection then, Dont worry about catching something from your own blood. The cells close the wound.by regrowth. It slowly closes over a couple of days. If it is clean, they grow faster. Withing 3-4 days it is closed. The wound heals side to side so the narrower it is the faster it heals. ...Read more

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When might a specialist (gastroenterologist or hepatologist) be consulted regarding the management of HCV infection?

When might a specialist (gastroenterologist or hepatologist) be consulted regarding the management of HCV infection?

Upon Diagnosis: As soon as you are diagnosed, you should see a GI specialist who is knowledgeable in the management of hcv. It is a condition that requires specialist medications and care and best managed by a hepatologist. ...Read more

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Can HCV co-infection affect the accuracy of HIV rapid test results? If HIV and HCV antibodies tests are negative at 5 months, are HIV results accurate

Can HCV co-infection affect the accuracy of HIV rapid test results? If HIV and HCV antibodies tests are negative at 5 months, are HIV results accurate

It shouldn't: Antibody tests are specific for the antibodies being tested for, so hcv antibodies shouldn't have an effect on HIV antibody tests. If you've tested negative at 5 months, i don't see why those results wouldn't be accurate, but if you want to be sure, you can always wait another 4-6 months and have the HIV test repeated. ...Read more

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My Hepatitis C Antibody test was non reactive. The results included a comment "Does not exclude early acute HCV infection". What does this mean?

My Hepatitis C Antibody test was non reactive.   The results included a comment "Does not exclude early acute HCV infection".  What does this mean?

See below: It takes the body variable period of time to make antibodies in response to an infection. In the case of Hep C it may take a few weeks from the time of infection to the time when the body makes antibodies. If you are concerned about have been exposed to Hep C, you may wish to repeat the test in about 6 months. ...Read more

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Is there a possibility of acquiring hepatitis e infection without getting prior infection of hav, HBV or hcv? What are major complcations of hev? Ty.

Is there a possibility of acquiring hepatitis e infection without getting prior infection of hav, HBV or hcv? What are major complcations of hev? Ty.

Unique RNA virus: ...With 4 genotypes, outbreaks of which have accounted for epidemics in europe in 18th ; 19th centuries, ; today in india and asia where the infection is endemic. Outbreaks have particularly high attack rates ; mortality among pregnant women. Fecal-oral transmission from person-to-person. See no chronic hepatitis, cirrhosis, cancer but severe hepatitis with fulminant hepatic failure is possible. ...Read more

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If my lymphocyte count is low, are two years enough to pick up a possible hiv, HCV and hepatitis b infections after a possible exposure ?

If my lymphocyte count is low, are two years enough to pick up a possible hiv, HCV and hepatitis b infections after a possible exposure ?

Yes.: All three seroconvert (show detectable antibodies) in a few weeks; six months at the very longest. You're fine. ...Read more

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After exposure 1, 5 yrs, tested neg HCV ab, but herpes and chlamidophila pneumoniae pos..Could these two infections delay my HCV antibodies to show up?

After exposure 1, 5 yrs, tested neg HCV ab, but herpes and chlamidophila pneumoniae pos..Could these two infections delay my HCV antibodies to show up?

No: If the exposure was more than a year ago and you are hcv antibody negative, it is very likely that you did not get infected with hcv. Did you get tested for hiv? If not, you should discuss that with your doctor. ...Read more

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If i'm on Trileptal,can I safely can take Tylenol (acetaminophen) approx. 3 times weekly at 500-750 mg/day,to manage headaches and joint pain due HCV infection?

If i'm on Trileptal,can I safely can take Tylenol (acetaminophen) approx. 3 times weekly at 500-750 mg/day,to manage headaches and joint pain due HCV infection?

Yes, you can: However, for a patient with liver disease or taking other medication that can damage the liver, Tylenol (acetaminophen) dosing should be reduced to about 2 grams/day. Simple analgesics such as aspirin or Tylenol (acetaminophen) can produce MOH (medication overuse headache). Of course, always ask your doctor for more information about your individual situation. ...Read more

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Can a carrier of hepatitis C transmit infection to his wife?

Yes: The risk of transmitting hcv to your wife is through accidental contact with small amounts of blood. Keep wounds covered. Do not share razors, toothbrushes, clippers. Of course do not share any injection drug equipment. If she does not have hcv (and she should be tested), then sexual intercourse is very unlikely to transmit hcv and the cdc does not recommend using condoms. ...Read more

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Are there racial disparities in regards to hepatitis C infection?

NO: Hepatitis b is a dna virus which will infect its host regardless of race. However, this virus is passed through blood and vaginal or seminal fluids, which has resulted in increased frequency of infection within drug seeking populations or populations engaging in unprotected sex. Please see your physician if you suspect infection. ...Read more

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Dr. Camilla Graham
763 doctors shared insights

Hepatitis C (Definition)

An infection caused by a virus that attacks the liver ...Read more