Should I Get a Full Health Check or Directly Treat Possible Hepatitis C? - Gastroenterology and Hepatology

Share to:

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.

Similar Q&A

Understanding Hepatitis C Treatment Options and Liver Health Supplements

I currently have hepatitis C and I regularly monitor my condition every six months, with normal results. I would like to know if I can receive treatment to cure it, and if so, can I use heparin? How many treatments are covered by the National Health Insurance? I've been told...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, 1. The treatment for hepatitis C currently primarily involves long-acting interferon and ribavirin to eliminate the hepatitis C virus. Patients must have the hepatitis C virus present and not have severe cirrhosis to be eligible for treatment. 2. Currently, the National...

[Read More] Understanding Hepatitis C Treatment Options and Liver Health Supplements


Essential Liver Health Checks: Importance, Costs, and Local Resources

Hello, Dr. Tsai. Recently, I saw my uncle collapse due to liver disease, which made me feel anxious. Currently, I work in law enforcement, and my lifestyle and diet are irregular. I have never had my liver checked before. Before undergoing liver function tests, I usually buy over...


Dr. Cai Junyan reply Gastroenterology and Hepatology
Dear Mr. Tsai: You should first go to the hospital to check for chronic hepatitis. It is best to consult a qualified hepatologist or gastroenterologist. The examination should include liver function tests, hepatitis B and C virus antigen and antibody tests, and liver ultrasound...

[Read More] Essential Liver Health Checks: Importance, Costs, and Local Resources


Understanding Hepatitis B: Testing and Vaccination Guidance

Over a year ago, I underwent a school health check, and I was informed that I had no antibodies and needed to get vaccinated. However, I missed the vaccination due to a cold. Now, after some time has passed, I would like to know which department I should visit. Should I get teste...


Dr. Hong Hongchang reply Internal Medicine
Please schedule an appointment with either Family Medicine or Gastroenterology. First, perform a blood test to check for the presence of antibodies. If antibodies are not present, then proceed with the administration of the Hepatitis B vaccine.

[Read More] Understanding Hepatitis B: Testing and Vaccination Guidance


Essential Care Tips for Managing Hepatitis C Effectively

How to take care of oneself with hepatitis C? Thank you.


Dr. Xiao Yongxun reply Internal Medicine
1. The hepatitis C virus is an RNA virus, and its primary mode of transmission is through contact with the blood and bodily fluids of an infected person, such as sharing needles, blood transfusions, or sharing razors. Due to chronic inflammation over time, it can lead to cirrhosi...

[Read More] Essential Care Tips for Managing Hepatitis C Effectively


Related FAQ

Hepatitis C

(Gastroenterology and Hepatology)

Hepatitis C Infection Risk

(Gastroenterology and Hepatology)

Which Department Should I See?

(Gastroenterology and Hepatology)

Health Check-Up Report

(Gastroenterology and Hepatology)

Hepatitis B Screening

(Gastroenterology and Hepatology)

Direct Bilirubin

(Gastroenterology and Hepatology)

Blood Test

(Gastroenterology and Hepatology)

Hepatitis B Infection Risk

(Gastroenterology and Hepatology)

Hepatitis C

(Internal Medicine)

Acid Reflux

(Gastroenterology and Hepatology)