Doctor insights on:
Hep C And Lupus
How is a pos ANA speckled, pos C-ANCA, pos P-ANCA, hep A virus, hep B surface, low Urate and low leukocytes all connected with Seizures and Arthritis?
No: no . It's not routinely done , but if the pediatrician feels, it is needed it can be ordered . ...Read more
Is HIV Pooled RNA together with HIV antibody test and HEP C pooled RNA together with Hep C antibody test at 93 days of a Lancet prick conclusive? Thx
Yes: Pooling makes no difference in these tests. Negative results at 3 months are conclusive. ...Read more
Numbers and type: Viral load refers to how many viral molecules can be detected in the blood. It gives an idea about how active the virus is and can be used to monitor response to therapy. Genotype refers to a test that can identify subtypes of hep c. Certain genotypes are more likely to respond to a given therapy, so this information can be useful in deciding in what treatment, if any, would be best. ...Read more
No: About 25% of people who have hcv antibodies, indicating that they were exposed to this virus, will have spontaneously cleared the infection through their immune response. The only way to know if you actually have active infection is to test for hcv RNA (viral load). If the RNA is detected the person has active infection and could have liver damage. ...Read more
Cirrhosis?: Recommendations for people with hepatitis c and cirrhosis include avoiding all alcohol, vaccinations for hepatitis a and b if never exposed, ultrasound for liver cancer every six months, endoscopy to look for enlarged veins in the esophagus, limit tylenol (acetaminophen) and discuss all meds with your doctor, and develop a plan for treatment of hepatitis c. Regular doctor visits for monitoring are critical. ...Read more
Immune deficiency: If you are asking whether this acts like hiv, the answer is no. Patients who have developed severe liver disease from hep c may be more prone to some forms of infection and secondary malignancy, but not aware of a specific immune function which is inhibited by this virus. ...Read more
My hepatitis C antibody reactive(151.7).But in quantitative Hcv PCR test HCV RNA is less than 30 Iu/ml.Doctor said i have no hepatitis C infection.
My ANA Hep-2 Titer is >1280 Titer 1 and standard is <80 Titer 1. pattern is Centromere. I have lupus. Just how bad is this result? Common?
Lab tests: Both of these tests may be suggestive of lupus or other autoimmune conditions. However, the lab test are just 1 component of the overall assessment and does not by itself makes the diagnosis of lupus. I recommend seeing a rheumatologist and would be happy to consult if needed. ...Read more
Sometimes oral temp normal while skin is fever? 12 weeks of 99.4-102.9 skin temp. 5 antib, blood work (lupus, hiv, hep, ra) neg. Day 7 of doxy tmp 101.2
Well, that's a tough: One. You have a fever of uncertain origin, maybe. It seems as though you are checking it a lot though. I would stick with oral temp only. Do you feel bad? Chills, night sweats? Did u get chest x-ray? If not feeling bad and oral temps normal, i would try to get on with it. Cont abx but go just with oral, if normal consider that no fever if having no illness. Keep seeing doc though. ...Read moreSee 1 more doctor answer
Pain in upper right back, inside rib cage. Gallbladder removed in 2010-dirreah, weight loss, night sweats. Enzymes over 810-neg for hep, lupus, wilson?
? retained stone: There are a number of tests, ultrasound, mrcp that you could have to rule out a retained or new primary gallstone in your bile ducts. If these are clear an ERCP may help. If it is not a stone then review your meds. Many things can affect the liver: tylenol, (acetaminophen) alcohol, cholesterol meds, etc. If nothing is found they may want to image your liver. ...Read moreSee 1 more doctor answer
Hemoglobin dropped 9.8 to 8.9 in less than 2 mos. Iron, B12 ok, no hep, no hiv. Now being checked for lupus-already have psoriasis. If that's negative then do bone marrow biopsy. Is this really bad?
Check for bleeding: Occult blood loss can also cause HGB to drop as can unfortunately, some types of cancers. I don't mean to scare you but have you had an abdominal ultrasound, checked for hidden blood in stool, etc. If not, you should. Are you also fatigued or have any abnormalities? Ask doctor to be very diligent in your work up. Have you had an serum protein electrophoresis. You should have complete anemia check. ...Read moreSee 2 more doctor answers
38 year old female fatigued, bloating, gas.Hx of fluctuating liver enzymes for almost 3 years. Gallbladder removed 1.5 years ago. ALT 61, Alkaline Phosphatase 154, globulin 3.9.Hep, ANA, lupus, rheumatoid all negative.Please help.Other suggestions?
Possible celiac : Celiac disease remains a possibility with reported symptoms and liver function test abnormalities. An evaluation with a liver specialist may be needed for reviewing additional history and consideration for tests to rule out disorders of biliary tree, pancreas, and chronic liver diseases. ...Read moreSee 1 more doctor answer
Smoke/alco free 15 months. New labs show high ldh + lipase; borderline low amylase + globulin. Already ruled out ibd, celiac, mono, hep, hiv, tb, lupus, ra. July ct=normal liver/kidneys/panc. Cancer?
MRCP: Looks like you have pancreatitis, but if you have not had alcohol, need mrcp to see if there any pancreatic duct abnormalities. Need more info, were you drinking before and did you have multiple pancreatits before? Mrcp followed by eus would help. Ercp may be needed once acute episode is resolved, or if you find any stricture in the duct. ...Read moreSee 1 more doctor answer
Hep c anti algorithm test was reactive, but did not show s/co ratio. Nurse claims it's "high reactive" but could not give the cutoff value. All labs have a s/co value why did this not. Was the nurse incorrect? she just said it was high w/o a ratio?
Does not add up: There is no Hep c anti algorithm test. If you got the actual test result, it should have the name and contact information of the laboratory that did the test and you may wish to contact the laboratory for an explanation. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex. Get HPV vaccine ...Read more
What does it means when your paper file is showing hep c virus ab 0.1 s/ co ratio 0.0 - 0.9 and what can you about it?
New Hep C drugs: There are 2 new (just over 1 year on the market) drugs known as protease inhibitors. Victrelis (boceprevir) is one and Incivek is the other. These are only approved for treatment of genotype 1 and either must still be used in conjunction with pegalated interferon and ribavirin. There is a 2nd gen protease inhibitor and a polymerase inhibitor currently in development. ...Read moreSee 1 more doctor answer
Usually blood tests: If you can see/feel your HCV worsening, then it is significantly worse--and may present as jaundice (yellowing of eyes and skin) and/or diffuse itchiness of skin. Usually periodic blood tests monitor how your liver is functioning until deemed stable, then checked less often. Talk to your Dr if worried. ...Read more