Hepatitis C
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Articles by
Dr. Zhang
TCM and MCM Theory Related to Common Liver Disease Blood Test Markers

Low Dose Interferon Patient Experiment

Hepatitis A Prevention Reminder

Hepatitis: Causes of Pain in Liver Region 

The Need to Monitor Your Chronic Hepatitis

Liver Enzyme Fluctuation during Allergy Season 

What are the Serum Markers of Hepatitis B and What do They Mean?

Enterogenous Endotoxemia in Chronic Hepatitis–
Part 2

Enterogenous Endotoxemia in Chronic Hepatitis–
Part 1

Chronic Hepatitis and "Blood Activating and Stasis Expelling" (BASE) Therapy -
Part 2

Chronic Hepatitis and "Blood Activating and Stasis Expelling" (BASE) Therapy
Part 1

What Causes Gastrointestinal Bleeding in Cirrhotic Liver Disease

Dietary Support for Cirrhotic Liver Diseases

Ascites - A Complication of De-Compensated Liver Cirrhosis

Liver Cirrhosis - Portal Vein Hypertension Complications

Liver Cirrhosis Overview

PG-IFN and Ribavirin Treatments

Antibiotics and Chronic Liver Diseases

Why is Alcohol Harmful for People with Hepatitis?

Co-infections and Super-infections of Viral Hepatitis

Beware of Medications That Can Cause Liver Damage

Bile Retention and Its Clinical Manifestations (MCM) part 4

Modern Chinese Medicine (MCM) Part 3 
Jaundice and Chronic Viral Hepatitis

Modern Chinese Medicine (MCM) Anti-Liver-Fibrosis Treatments - Part 2

Modern Chinese Medicine (MCM) Anti-Liver-Fibrosis Treatments - Part 1

What is Liver Fibrosis and How is It Different from Cirrhosis?

How does the liver change as we get older?

How is that my LFTs are so good when my viral load is seemly so high?

Comprehensive Care for Chronic Viral Hepatitis

What can Cause Liver Inflammation?  

What Are the Major Functions that the Liver Carries?


                                                    Prevent Yourself from Hepatitis A

As summer approaches, it is important to remind all chronic Hepatitis patients to be aware of the HAV virus and avoid becoming super-infected.
Hepatitis A can happen all year round but more frequently during the vacation seasons when people travel to less developed countries where the hygienic conditions, the water source, and foods preparation standards are less stringent. For people who already have Hepatitis B or Hepatitis C, a super-infection with HAV can be very dangerous and greatly exacerbate their existing condition. Thus, it is very important to be vaccinated against the HAV virus.

Hepatitis A usually occurs from eating contaminated foods. When HAV has infected the body, it first multiplies in the gastrointestinal track, then enters the blood stream and causes a temporary viremia. It then replicates in the white blood cells and finally enters the liver and multiplies in the liver cells.

Before the patient shows any symptoms, the HAV virus will have already been secreted from the Golgi apparatus of the liver cells to the bile canaliculi, and then excreted to the intestine. It will then be eliminated from the body along with the stool. During this incubation period and before the presence of jaundice is the peak stage of infection ability. The patient at this stage is the most dangerous source of the hepatitis A virus as anything he secretes from his body, stool, urine, sputum, vomit, are full of the HAV virus. These secretions, if not properly handled, can contaminate water, foods, furniture, and all of his or her surrounding environment. Any insects, especially flies that touch the patient are able to spread the HAV virus even further.

Not every person who contracts HAV shows typical clinical symptoms. A small number of people will show no symptoms at all and even blood tests will not disclose their infection. These people can still produce antibodies to the HAV and become immune to further infection. However, they are still able to infect others during the incubation and sub-clinical infection period.

After contraction of HAV, most people will show symptoms in two to six weeks. Common symptoms are fever, weakness, joint pain, poor appetite, nausea, vomiting, diarrhea, and bloating. Jaundice (eyes, skin turning white to yellowish, dark urine, pale stool) will occur approximately one week after showing the above symptoms. At the same time, blood tests will show highly elevated levels of ALT, AST, Bilirubin, GGT, and AKP. This is a typical symptom pattern of acute hepatitis A.

The prognosis for HAV alone is benign and the disease course is mostly self-limited. Very rarely does the hepatitis A become a severe disease course, such as fulminant liver failure, or turn into a chronic condition. After the infection, every patient will develop antibodies to the disease and they will last a lifetime.

Because many adults have contracted this virus sometime in their life and have gotten immunity, the occurrence of hepatitis A is mostly in children and younger persons. In developed countries, such as the USA, the adult serum positive rate is still low so when people travel to developing countries, there is chance to contract this disease.

The best way to prevent infection is vaccination and those with existing Hepatitis B or C conditions should definitely to vaccinated as soon as possible.



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About HCV
Causes and Transmission

Diagnostic Tests
Viral Load

Viral Genotyping

Major Signs
Liver Inflammation

Peripheral Signs and Symptoms
Bile Retention
Joint Pains and Skin Rashes
Blood Sugar Instability
Portal Vein Hypertension

Important Liver Function Test Markers
PT (Prothrombin Time)
Liver Biopsy
Inflammation Grade
Fibrosis Stage
Interferon Based Treatment
Ideal Candidate
Possible Side-effects
Liver Support with TCM
Liver Enzymes
Serum Albumin
Blood Clotting Factors
Bile metabolism
Dietary Considerations
Essential Fats




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