What to Do If Your Mom Has Hepatitis C: Treatment and Risks

Q: What to Do If Your Mom Has Hepatitis C: Treatment and Risks

Hello Charles： Hepatitis C may have progressed to cirrhosis or hepatitis without symptoms, which is why you should seek medical attention. <br>Please visit a hepatology or gastroenterology clinic.

My mother has hepatitis C. What should I do?

My mother has this condition.
What should we do? Previously, she went to an otolaryngologist due to strange sounds in her ears, and it was later found that her GOT and GPT levels were elevated, her platelet count was low, and her lymphocyte count was high, leading to a diagnosis of hepatitis C.
She is currently undergoing blood tests.
Is there medication available for treatment? Is there a risk of developing cirrhosis or liver cancer?

charles, 10~19 year old female. Ask Date: 2006/04/20

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello Charles: Hepatitis C may have progressed to cirrhosis or hepatitis without symptoms, which is why you should seek medical attention.
Please visit a hepatology or gastroenterology clinic.

Reply Date: 2006/04/20

More Info

If your mother has been diagnosed with Hepatitis C, it is essential to take a proactive approach to her treatment and care. Hepatitis C is a viral infection that primarily affects the liver and can lead to serious complications, including liver cirrhosis and liver cancer if left untreated. Here’s a comprehensive guide on what to do next:

Understanding Hepatitis C
Hepatitis C is caused by the Hepatitis C virus (HCV), which is transmitted through blood-to-blood contact. Many people with Hepatitis C do not exhibit symptoms initially, which can lead to delayed diagnosis and treatment. The elevated levels of GOT (AST) and GPT (ALT) in your mother’s blood tests indicate liver inflammation, which is common in Hepatitis C infections.

Immediate Steps to Take
1. Consult a Specialist: It is crucial to have your mother evaluated by a hepatologist or a gastroenterologist who specializes in liver diseases. They can provide a comprehensive assessment of her liver health and recommend appropriate treatment options.

2. Further Testing: Your mother may need additional tests, including:
- HCV RNA Test: To determine the amount of virus in the blood.

- Genotype Testing: To identify the specific strain of the virus, which can influence treatment decisions.

- Liver Biopsy or Imaging: To assess the extent of liver damage (fibrosis or cirrhosis).

3. Treatment Options: There are effective antiviral medications available for Hepatitis C, known as Direct-Acting Antivirals (DAAs). These medications can cure the infection in most cases, with treatment durations typically ranging from 8 to 12 weeks. The specific regimen will depend on the genotype of the virus and the extent of liver damage.

4. Monitoring Liver Health: Regular follow-ups with blood tests to monitor liver function and check for any signs of liver damage are essential. This includes monitoring liver enzymes, platelet counts, and possibly imaging studies to evaluate liver structure.

Risks of Liver Damage
If Hepatitis C is not treated, there is a significant risk of developing liver cirrhosis, which is severe scarring of the liver that can lead to liver failure. Additionally, individuals with chronic Hepatitis C are at an increased risk of developing liver cancer (hepatocellular carcinoma). The risk factors for progression to cirrhosis include:
- Duration of infection
- Co-infection with other viruses (like Hepatitis B or HIV)
- Alcohol consumption
- Other liver diseases

Lifestyle Modifications
Encourage your mother to adopt a healthy lifestyle to support her liver health:
- Avoid Alcohol: Alcohol can exacerbate liver damage and should be avoided entirely.

- Healthy Diet: A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can help maintain overall health.

- Regular Exercise: Physical activity can improve liver health and overall well-being.

- Stay Hydrated: Adequate hydration is essential, but it’s important to manage fluid intake, especially if she experiences symptoms like frequent urination.

Emotional Support
A diagnosis of Hepatitis C can be overwhelming, both for your mother and your family. Providing emotional support and encouraging open discussions about her feelings and concerns can be beneficial. Consider involving a counselor or support group for individuals with Hepatitis C.

Conclusion
In summary, if your mother has Hepatitis C, it is crucial to seek specialized care, undergo further testing, and consider treatment options available. With the right medical intervention, many individuals can achieve a cure and prevent the progression to more severe liver disease. Regular monitoring and lifestyle changes will also play a significant role in maintaining her health. Always consult healthcare professionals for personalized advice and treatment plans tailored to her specific situation.

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