Managing Chronic Hepatitis C and Kidney Deficiency: A Holistic Approach

Q: Managing Chronic Hepatitis C and Kidney Deficiency: A Holistic Approach

Hello, user：<br>Hepatitis C, like I previously mentioned regarding Hepatitis B, is difficult to eradicate completely. <br>The main difference between Hepatitis B and C lies in the type of virus causing the disease; otherwise, the mechanisms of disease development are quite simila

What should I do?

Hello, doctor.
Three years ago, I was diagnosed with hepatitis C during a health check-up, and my liver enzyme level (GPT) was 107.
Since then, I have been undergoing regular ultrasound examinations every three months, which have shown no abnormalities.
However, my enzyme levels fluctuate (ranging from GPT 59 to 99), and I have been feeling very unwell.
I cannot sit for long periods to study, experience shortness of breath, palpitations, and chest tightness (especially before sleeping).
I have noticeable hair loss (losing 10 to 20 strands after washing my hair), and I have many acne breakouts on my face.
Whenever I consume slightly greasy or high-protein seafood, I feel very uncomfortable.
A few weeks ago, a traditional Chinese medicine practitioner diagnosed me with deficiency syndrome and kidney deficiency (Yin deficiency).
I believe most of my symptoms are caused by kidney deficiency, which has been present for three years.
What should I do now? Nourishing the kidneys may harm the liver, and both kidney water and liver wood are abnormal, which likely affects other organs as well.
I am only 22 years old, and it is unusual to have kidney deficiency typically seen in middle-aged individuals.
My hepatitis has also progressed to a chronic state (possibly due to an infection from surgery in childhood).
I rest frequently, maintain a regular schedule, and consume plenty of fruits and vegetables (paying attention to the temperature properties of fruits).
I have abstained for a long time and have consulted many traditional and Western medicine practitioners, but my health continues to deteriorate.
I would like to know if traditional Chinese medicine can improve my kidney deficiency condition (without harming the liver) and whether my currently weakened body can tolerate interferon treatment from Western medicine.

Chengyu, 20~29 year old female. Ask Date: 2005/12/06

Dr. Lin Qingzhong reply Traditional Chinese Medicine

Hello, user:
Hepatitis C, like I previously mentioned regarding Hepatitis B, is difficult to eradicate completely.
The main difference between Hepatitis B and C lies in the type of virus causing the disease; otherwise, the mechanisms of disease development are quite similar.
Both Hepatitis B and C are challenging to treat and achieve short-term recovery, often leading to chronic active hepatitis with fluctuating liver function tests.
Over decades, both Hepatitis B and C can increase the risk of developing liver cancer or cirrhosis.
Treatments from both traditional Chinese medicine (TCM) and Western medicine can potentially improve inflammatory liver function tests.
Despite your regular rest, normal lifestyle, and attention to a diet rich in vegetables and fruits (considering the temperature properties of fruits), along with prolonged abstinence and consultations with various TCM and Western medicine practitioners, your liver function tests still show significant fluctuations (GPT levels ranging from 59 to 99).
This is characteristic of Hepatitis B and C.
Common clinical symptoms include fatigue, especially pronounced tiredness, occasional loss of appetite, insomnia, and dark urine.
In TCM, your symptoms may align with liver qi stagnation and spleen deficiency, for which TCM often prescribes formulas to soothe the liver and relieve depression.
Your inability to sit for long periods while studying, along with symptoms like shortness of breath, palpitations, and chest tightness, may indicate emotional distress leading to liver qi stagnation and spleen deficiency, likely exacerbated by anxiety, which should be addressed with liver-soothing treatments.
Your hair loss (losing 10 to 20 strands when washing) and numerous facial acne are normal phenomena associated with youth and growth.
It is advisable to avoid overly greasy foods, maintain facial hygiene, ensure adequate sleep, and manage anxiety, which should help improve these conditions.
Treatment should only be considered if symptoms become severe.
Your primary focus should be on Hepatitis C.
Kidney yin deficiency may present with various functional symptoms such as lower back pain, tinnitus, nocturnal emissions, and a red tongue with a wiry pulse.
A qualified TCM practitioner should diagnose and treat these symptoms for potential improvement.
If you are open to interferon treatment, it should be evaluated by a specialist in hepatobiliary medicine.
For further assessment, you may consider consulting a hepatobiliary specialist at our hospital.
Our institution frequently employs a combination of TCM and Western medicine for difficult cases like cancer and liver diseases to improve patient conditions.
Due to the difficulty in achieving short-term recovery from Hepatitis B and C, both TCM and Western medicine have unique approaches and medications, and it is best to integrate both for treatment.
Regardless of the medications prescribed by TCM or Western medicine, please follow the instructions of your healthcare providers and avoid taking any unknown medications on your own.
Wishing you good health.
Dr.
Lin Ching-Chung, Director of the Department of Traditional Chinese Medicine, Fengyuan Hospital

Reply Date: 2005/12/06

More Info

Managing chronic Hepatitis C (HCV) alongside kidney deficiency requires a comprehensive and holistic approach, especially considering the complexities of both conditions. Your symptoms, including fluctuating liver enzyme levels, fatigue, shortness of breath, palpitations, and hair loss, suggest that your body is under significant stress, which may be exacerbated by both the chronic hepatitis and potential kidney issues.

Understanding Your Conditions
Chronic Hepatitis C is a viral infection that can lead to liver inflammation, fibrosis, and potentially cirrhosis or liver cancer over time. The liver plays a crucial role in detoxification, metabolism, and overall health. When liver function is compromised, it can lead to systemic symptoms, including fatigue and malaise. Your fluctuating liver enzyme levels (GPT ranging from 59 to 99) indicate ongoing liver inflammation, which can be influenced by various factors, including diet, lifestyle, and possibly coexisting conditions like kidney deficiency.

Kidney deficiency, particularly in Traditional Chinese Medicine (TCM), is often associated with symptoms like fatigue, weakness, hair loss, and poor vitality. It is essential to understand that while TCM offers valuable insights into health, it should be integrated with conventional medical approaches, especially in the case of chronic viral infections like HCV.

Holistic Management Strategies
1. Regular Monitoring and Medical Care: Continue your regular check-ups with a hepatologist or a gastroenterologist. Regular blood tests to monitor liver function and viral load are crucial. If you haven't already, consider discussing the possibility of antiviral treatment options, such as direct-acting antivirals (DAAs), which have fewer side effects compared to interferon-based therapies.

2. Dietary Adjustments: Since you mentioned that fatty or high-protein foods cause discomfort, it may be beneficial to adopt a liver-friendly diet. Focus on:
- Fruits and Vegetables: Rich in antioxidants and vitamins, they support liver health.

- Whole Grains: Provide energy without overloading the liver.

- Lean Proteins: Such as fish and poultry, in moderation.

- Hydration: Ensure adequate fluid intake to support kidney function.

3. Integrative Approaches: Consult with a qualified practitioner of TCM who has experience treating patients with chronic hepatitis. They may suggest herbal remedies that can support kidney function without compromising liver health. However, be cautious and ensure that any herbal treatments do not interact negatively with your liver condition.

4. Lifestyle Modifications:
- Stress Management: Engage in relaxation techniques such as yoga, meditation, or tai chi, which can help reduce stress and improve overall well-being.

- Regular Exercise: Gentle activities like walking can improve circulation and overall health without overexerting your body.

- Sleep Hygiene: Ensure you have a regular sleep schedule to promote recovery and energy levels.

5. Avoid Harmful Substances: Stay away from alcohol, recreational drugs, and certain over-the-counter medications that can further stress the liver. Always consult with your healthcare provider before starting any new medication or supplement.

6. Consider Psychological Support: Chronic illness can take a toll on mental health. Consider speaking with a counselor or therapist who can help you navigate the emotional challenges associated with chronic health issues.

Conclusion
At 22, experiencing symptoms typically associated with older adults can be distressing. However, with a proactive and integrated approach, you can manage both chronic Hepatitis C and kidney deficiency effectively. Collaborate closely with your healthcare providers, both conventional and alternative, to create a tailored plan that addresses your unique health needs. Remember, the goal is to support your liver and kidney health while improving your overall quality of life.

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