Hep C diagnosed on Sept. On diagnosis (Alt - 392 ast 208 ggt - 285 bili- 1.6) CT chest normal CT brain normal CT abdomen - spleen 11.5cm
liver- 12cm.mildly enlarged periportal and retroperitoneal lymph nodes(1.2cm) -non specific/non inflammatory Endoscopy-no varices viral load- 4 million Fibroscan - 9.9kpa Usg- grade 1 fatty changes. Cryoglobulin- no abnormal bands Cbc normal
CRP - normal ESR - 8
After 3 months of treatment Genotype 3
(Sofosbuvir and velpatasvir)
Alt - 71 ast - 36 bil - 1.1 ggt - 57 viral load -" not detected" < 15 IU/ml
Symtoms of weakness indigestion and fullness still present. Weakness in walking and getting fatigued easily. So cbc was done. All normal ( week 8 and week 12
lft enzymes at same level) no increase or decrease. What further things can be done now? Globulin had increased to 4.6 from 3.7
albumin - 4.1. Serum protein electrophoresis( gamma globulin at 2.1) Please advice