|Cirrhosis and low Hep C viral load What Next!
Aug 6, 2007
If you could help me with this question, I would be incredibly grateful. I have had the Hep C virus my entire life(blood transfusion as infant). I am now 37 years old and I recently relapsed after pegaylated interferon and ribvarin treatment. I just found out that I am transitioning into cirrhosis! What should I do? Continue with another round of combo treatment or perhaps something else? My viral load was 20K per ml. With treatment it has dropped to 10K per ml. I guess another question is, does a low viral load mean a slower progression to end-stage liver disease?
Any answers you would I have I would be very thankful.
Living with Hope
Response from Dr. McGovern
This is a tough situation. It sounds like you were close to non-detectable but never quite got there. The answer will depend on how long you were on therapy for the first time around, your genotype, and your treatment dosing. Since I do not know your course of therapy I will make some general comments:
I would have treated you for nine months after attaining a non-detectable viral load, if your viral load decline was slower than normal.
I would have treated you with weight-based ribavirin if you have genotype 1 infection. If you have high viral load genotype 3 infection, I would consider treatment with longer duration of therapy (if you only got six months in the first place).
I would avoid alcohol and excessive weight gain since both can cause fatty liver and exacerbate your liver disease.
I would get vaccinated for hepatitis A and B if you are not immune.
I would also get serial ultrasounds and AFP for six monthly checkups.
My daughter is on the edge
HEP B Surf Ab
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.