Case of Hepatitis C - Part 1

A 45 year old male has been consulting for almost 3 weeks now, and he presented with complaints of Nausea, decrease appetite, regurgitation, generalised weakness etc. to me History He has had history of jaundice in the past Investigations HCV RNA - 43059 IU/ml S. Bilirubin - 3.67 Direct - 1.47 Indirect - 2.20 SGOT - 86 SGPT - 104 Hep. C Antibodies - Reactive ( Value - 14.31) USG W/A - Normal Management Kindly guide me if antivirals can be started in this case I am thinking of Sovihep 400 OD and Dacihep 60 OD Will repeat HCV RNA load after 12 weeks Please give your valuable opinion on this case

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Chronic HCV infection is defined as the presence of HCV antibody for more than six months and detectable serum HCV RNA. All patients with chronic Hepatitis C needs treatment. Sofosbuvir and Daclatasvir is a good combination treatment for Hepatitis C Genotyping of Hepatitis C virus is recommended before starting treatment

Go for serum HCV RNA. H/ O Jaundice and present complaints needs treatment particularly anti viral drugs Sovihep 400 OD and Dacihep 30 OD. Regards evaluation and periodcal assessment required.

Thanks Dr Vipin Behari Jain
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YES .. CAN BE GIVEN.. CHRONIC .. HCV INFECTION .. NEED TO .. R/O .. FATTY LIVER .. HEPATITIS ..

Tnx Dr Rakesh Kayasth
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Chronic HCV infections.. Fatty acids level increase.. Hepatitis.. Medication continue...

Thanks doctor
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Chronic Hepatitis with Hepatitis C Virus I think recheck blood for LFT, HCV RNA another reputed pathological centre.

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R/0 fatty liver Cirrhotic liver Hepatitis a&c Elastography Antiviral drugs Udiliv300 bd

Valuable opinion
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Yes can be given

Thanks Rakesh kayasth, Dr. Kute Ankush, Dr. Ashok leel, Dr. Pushker Bhomia, Dr. Ramesh Patel, Dr. Pranab Bera
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Any hcv patient with positive hcv RNA should treat , sofosvir and declatasvir is active against pangenotyp so no genotype testing required , continue for 12 week then repet hcv RNA after 12 week

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Beetroot coriander juice sweet potato corn broccoli purple cabbage cabbage juice lime juice..all in liquid form of... except beetroot..awla carrots... alkaline diet no sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods and beverages sprouts kalijeeri green leafy vegetables no vyasan... cold pressed coconut oil massage and in naval...figs dates..under strict supervision of Doctor...

Yes can be given Nirocil

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