Doctor insights on:
Hep C And Lupus
Hepatitis c is a virus that replicates (makes copies of itself) in the human liver. People can be infected by exposure to even very small amounts of blood. Over 20 to 40 years it can cause scarring of the liver, and severe scarring is called cirrhosis. People can be tested for exposure with an antibody test. If that is positive, they need a test for the virus itself ...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
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
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