You should either undergo a health check-up or go directly to the hospital for a consultation?
About 1 to 2 years ago, I donated blood and found out that my hepatitis C surface antibody test result was "under re-examination." I didn't pay much attention to it at the time.
This March, I donated blood again, and the result was the same.
I would like to ask the doctor: should I undergo a full health check-up next, or should I go directly to the hospital for treatment regarding hepatitis C? I'm unclear whether I am definitely infected with hepatitis C or if it's just a suspected infection.
I would appreciate your advice.
Thank you!
Afa, 20~29 year old female. Ask Date: 2004/04/20
Dr. Liang Jiade reply Gastroenterology and Hepatology
Hello, if the hepatitis C antibody (with surface antibody being for hepatitis B) is positive, it indicates that there has been an infection with hepatitis C.
The majority of infected patients will develop chronic hepatitis C; therefore, it is recommended to have regular follow-up examinations every six months.
Whether treatment is necessary should be discussed with a physician after undergoing hospital evaluation.
Reply Date: 2004/04/20
More Info
When it comes to Hepatitis C (HCV), understanding your health status is crucial before deciding on treatment options. Based on your situation, where you have received reports indicating "inconclusive" results for Hepatitis C antibodies during blood donations, it is essential to clarify your infection status before proceeding with any treatment.
Firstly, it is important to understand that the presence of Hepatitis C antibodies (Anti-HCV) in your blood indicates that you may have been exposed to the virus at some point. However, a positive result does not necessarily mean that you currently have an active infection. The next step typically involves testing for HCV RNA, which detects the actual virus in your blood and determines whether you have a chronic infection. If you have not yet undergone this testing, it is highly recommended that you do so. This test will provide clarity on whether you are currently infected with Hepatitis C.
If your HCV RNA test comes back positive, it confirms an active infection, and you should discuss treatment options with your healthcare provider. The standard treatment for chronic Hepatitis C has evolved significantly over the years, with direct-acting antiviral (DAA) medications now available that can cure the infection in most cases. These treatments are generally well-tolerated and have fewer side effects compared to older therapies.
On the other hand, if your HCV RNA test is negative, it indicates that you do not have an active infection, and you may not need treatment at all. In this case, regular monitoring may be sufficient, especially if you have risk factors for Hepatitis C.
Regarding your question about whether to get a full health check or directly treat possible Hepatitis C, it is advisable to first focus on confirming your Hepatitis C status through appropriate testing. A full health check can be beneficial for overall health assessment, but it should not replace the specific tests needed to diagnose or rule out Hepatitis C.
In summary, here are the steps you should consider:
1. Get Tested for HCV RNA: This is the most critical step to determine if you have an active Hepatitis C infection.
2. Consult with Your Healthcare Provider: Based on the results of your HCV RNA test, discuss the next steps with your doctor. If you are infected, they will guide you through the treatment options available.
3. Consider Regular Monitoring: If you are not infected, regular follow-ups may be necessary, especially if you have risk factors for Hepatitis C.
In conclusion, understanding your Hepatitis C status is paramount before making any decisions about treatment. Once you have clarity on your infection status, you can make informed choices about your health and any necessary treatments.
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