Doctor insights on:
Gastroenterologist Consulted Management Hcv
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.
Sexual contact,blood: Since hepatitis c (hcv) is 'blood borne' it is transmitted by sexual contact with a person infected with hepatitis c or sharing personal care items that may have come in contact with another person’s blood, such as razors or toothbrushes. Other ways: sharing needles (iv drug use), needlestick injuries in health care settings and infants can be born to hcv+ mothers. Tattoos (unsterile) possible too.
HCV can be cured: Our goal in treating HIV is to suppress the virus and help build the immune system back up. If people take their meds they can potentially have a normal lifespan. But we do not know how to eradicate HIV from the body's cells. Hepatitis c can be eradicated, or cured. And it has a finite duration of treatment (24 to 48 weeks now). Both require combination drugs and careful adherence.See 1 more doctor answer
Those ARE the causes: The causes of HBV and hcv are hepatitis b virus (hbv) and hepatitis c virus (hcv), respectively. But maybe you're asking how they're spread. Hbv is spread in a manner similar to hiv: sex and blood contact, including sharing needles and syringes. Hcv is spread mostly through blood contact (sharing needles), though it can sometimes be transmitted through sex.
Blood to blood: contact is required - so eliminating that. Globally, screening bloodbanks, needle exchange programs, monitoring tattoo parlors. in the household, not sharing razors and toothbrushes, and avoiding any/all other blood to blood contact.See 1 more doctor answer
Tiny amounts blood: Even very small amount of blood from someone who has hepatitis c can spread this infection. So in dialysis units, improper cleaning of surfaces that might have been contaminated with blood could be an issue, as is using multi-use vials of medicines for multiple patients. If health workers use universal precautions the risk to patients is low.See 1 more doctor answer
Yes,late 2013?: Right now people with hcv genotype 3 have about a 70% cure rate with peg-ifn plus Ribavirin for 24 weeks. This is lower if they have cirrhosis. Gilead will file an nda with the fda soon for their new pill, sofosbuvir, combined with the pill ribavirin, for 12 weeks in genotype 3. The cure rates are about 60%. Higher cure rates may occur if ifn is added in. Talk with a hepatitis c specialist.
Silent epidemic: This virus until recently, was difficult to test for, and had no really good therapies to "cure" patient infected with hepatitis c. The cdc recognizes that many people in this demographic group have never been tested for hcv and therefore, can infect other people and will likely require more healthcare resources when complications arise such a liver cirrhosis, when
Several types: In general terms the recommended treatment is 3-fold. First is interferon. It is an injection done weekly. Second is a medication called ribaviron (3 pills twice a day). Finally...A new class of meds for hcv called integrase inhibitors. I like incivik. Its 2 pills 3 times a day. This last drug goes 12 weeks. If you become undetectable then you go 6 months..Otherwise you go 12.
High viral load?: I think you are asking if high hcv viral loads lead to the liver damage we call "hepatitis c disease". That answer is no. It may be surprising, but except for very rare circumstances, the damage caused by hcv is actually from the immune system creating damage as it tries to get rid of the persistent infection. People can have high viral load and no liver damage or low ones and have cirrhosis.
Lab results: My lab gets me these results by the morning after the blood was drawn.