Doctor insights on:
Hepatitis C Indeterminate Results
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. ...Read more
If I get tested for hepatitis C and the result is positive, do I need additional tests to be sure?
Good morning, I'm not sure of my results l received for anti-hvc which said standard range was 0.80 and my range was 0.16. So do l have Hepatitis C?
Depends: About 25% of people who have positive hcv antibody tests will have negative hcv viral load (RNA) tests. This means they are not chronically infected. Most of the time, this is not a true "false positive" test, because the person spontaneously cleared the infection after true exposure. The antibody test indicates exposure and the hcv RNA test indicates active infection. ...Read more
Dr said there was a problem on my blood results. The only thing I saw was signal cutoff <1.00. It was under hepatitis C. What does that mean?
In this order:: If the hepatitis c antibody is positive, was the hcv RNA (viral load) positive? If yes, what is the hcv genotype?Is there any evidence of cirrhosis (from physical exam or labs)? What can you do to keep your liver as healthy as possible? How can you protect accidental transmission to people close to you? What treatment options are there today and in the near future and what would they recommend? ...Read more
Can mean no Dis now.: This is apparently an RNA PCR (polymerase chain reaction) test that determines virus particles, or viral load in the body. This can be negative, but if an immunoblot test was positive, it would mean that you had an infection with hepatitis c and it was cleared. If the immunoblot was negative, then you never had an infection, and if you had an immunoassay and it was positive, then it was wrong. ...Read more
Positive or negative: A positive or reactive antibody test means you either had or still have hepatitis c. A negative or non-reactive test means you don't. If your test is positive, you then need either an hcv RNA or a riba to find out if they virus is still present or if you've cleared it and are no longer infected. ...Read more
Depends.: Hepatits c virus (hcv) is diagnosed with an antibody against hcv (anti hcv ab) and not by pcr. Some number of patients are able to clear initial hcv infection: they will have positive hcv ab and persistently not detected hcv pcr. Hcv pcr tells you what the burden of hcv is in the blood stream as it detects hcv rna. ...Read more
Thx dr.Hatem, i did CD4 count just to make sure that my negative results are done by a good immunesystem, especially to trust my neg. Hepatitis c result?
HIV negative: Labs can make mistakes, but i would trust that 10 tests done over two years, all with consistent result, are extremely unlikely to be all wrong. There is a difference between absolute and relative CD4 counts. If you have symptoms, talk to a doctor about further evaluation. ...Read more
Do health consequences result from drinking alcohol when having hepatitis c? If so, what are they?
Worsening function..: Your liver function will decline more rapidly and can result in advancing cirrhosis. Best to avoid it. ...Read more
Male 57, hepatitis C antibody result says reactive 14 with cutoff of 1 . Test performed byy ECLIA . How much chance of false positive. Prognosis?
Check viral load: Even when people have high titer hepatitis c antibody responses, some do not have active infection because their immune system cleared their virus on their own. So the first step is to check a hcv viral load (rna). If the virus is detected in the blood then you do have active infection. At that point you need testing to see how much liver scarring (fibrosis) you have. Work with a specialist. ...Read moreSee 1 more doctor answer
I had some blood work done hepatitis C and b. My results are negative except hep b? I already had my immersion shot when i was a kid? How can this be?
Result of immunisati: If youe hepatitis surface antibody is positive that means you have achieved immunity due to immunisation with hep b vaccine, that is most likely as you had the immunisation.Check with your doctor and ask what the test positive means to you. ...Read moreSee 1 more doctor answer
Abnormal liver chemistries (lfts) can be seen in abunch of disorders. Need a good history. Abnormal lfts generally initiate more testing to check on the cause for them, including viral infections (including hep c), autoimmune, metabolic, toxic, etc.
Most patients with hep c don't have much in way of symptoms, tip off may be abnormal lfts. ...Read more
If i had a recent exposure to hepatitis C what kind of blood test can I ask my doctor to order which will show results the fastest?
A few things: The first is a routine antibody screen. If this is positive, then genetic typing of the virus (guides type of treatment). Then a hep c pcr to quantitate the amount of virus in your body. A liver function panel is also needed. A new test for liver fibrosis called the hep c fibrosure is an excellent non-invasive way to determine liver fibrosis without biopsy. Finally, a cea, AFP and a RUQ us. ...Read moreSee 1 more doctor answer
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