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What Does This Test Report For Viral Infection Indicate?

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Posted on Fri, 24 Oct 2014
Question: my wife is 34 years old and she is HCV patient, we came to know recently about it
her viral load 477000 ml
log value:- 5.68
1) i wanted to know if her viral infection is high
and wanted to know .how old is virus
she doesn't have any symptom of HCV

2) and is she compatible for IVF treatment or pregnancy

3) from last 1 year we are having sex without any protection and i checked my test report ,it is negative
so i i have sex with her in future with any protection, will i get HCV ?

doctor
Answered by Dr. Dr. Klerida Shehu (2 hours later)
Brief Answer:
Hi viral load;high chances to get infected...

Detailed Answer:
Hi there,

I have gone through the medical history of your wife carefully and understood your concerns.

1. Yes, her viral load is high. HCV is characterized by high viral load although no clinical symptom is present. I'd like to know about her liver transaminases level reports for further assistance?

2. Before deciding for a possible pregnancy, I highly recommend to consult with both GI and OG specialists. To my opinion, with such lab reports, your wife needs an immediate treatment.

3. If you continue having unprotected sex with her, then, yes, unfortunately, you have high chances to get infected.

All the best and God bless!
Dr.Klerida
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Dr. Klerida Shehu (47 minutes later)
i am going to consult GI on monday

OG you mean Oncologist ?


which test is required to find liver transaminases level ?

and which test is required to find genotype of hCV ?

do you recommend any test ?

doctor
Answered by Dr. Dr. Klerida Shehu (48 minutes later)
Brief Answer:
Hepatitis C genotype testing...

Detailed Answer:
Hi back,

Thank you for follow up query!

It's great to contact your gastroenterologist on Monday, you can discuss with him/her about planning for a baby.

OG means Obstetric-gynecologist. You need a close collaboration with gastroenterologist and gynecologist at the same time if you are planning for a pregnancy.

Liver panel testing is routinely done, I'm sure they did when they run blood tests to your wife. Anyway, the tests are:
- ALT level
- AST level
- bilirubin (direct and total)

The test for genotyping is called " Hepatitis C genotype testing" .

Hope it helped!
Dr.Klerida
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Dr. Klerida Shehu (3 days later)
here is live test report

http://scr.hu/33n0/la7ko


it says most of things are high
so what does that indicate

we had done her ultra sound , and doctor said her liver is fine
one more those thing i forgot to mention
that 4 years back her gall bladder was removed
and same time she had ovary cyst surgery
doctor
Answered by Dr. Dr. Klerida Shehu (30 hours later)
Brief Answer:
Ribavirin and interferon to be started...

Detailed Answer:
Hi back,

Thank you for providing the lab reports.

I have gone through them and noted that liver enzymes and bilirubin were high. As long as the liver was morphologically fine (no fatty liver, no cirrhosis,), then, the cause to her high liver enzymes levels and bilirubin was the chronic hepatitis.

I advise to run the genotype testing and HCV-RNA before starting therapy. It is necessary that she starts drug therapy with anti-virals (e.g. ribavirin and interferon) before thinking over pregnancy.

All the best and God bless!
Dr.Klerida
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Dr. Klerida Shehu (1 hour later)
waiting for genotype report , i will receive next week

1) can she wait for sovalid medicine ? sovaldi available within 6 month to 1 year

or treatment should be started now
doctor
Answered by Dr. Dr. Klerida Shehu (2 hours later)
Brief Answer:
Yes, can wait for up to 1 year...

Detailed Answer:
Hi,
thank you for following up.

Yes, you can wait for another 6 months to up to 1 year before starting medications. Meanwhile, you should monitor her liver enzymes every month.

All the best!
Dr.Klerids
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2266 Questions

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What Does This Test Report For Viral Infection Indicate?

Brief Answer: Hi viral load;high chances to get infected... Detailed Answer: Hi there, I have gone through the medical history of your wife carefully and understood your concerns. 1. Yes, her viral load is high. HCV is characterized by high viral load although no clinical symptom is present. I'd like to know about her liver transaminases level reports for further assistance? 2. Before deciding for a possible pregnancy, I highly recommend to consult with both GI and OG specialists. To my opinion, with such lab reports, your wife needs an immediate treatment. 3. If you continue having unprotected sex with her, then, yes, unfortunately, you have high chances to get infected. All the best and God bless! Dr.Klerida