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?


 


Comprehensive Care for Chronic Viral Hepatitis


There are very few specific treatment options open to patients with chronic viral hepatitis. Thus, non-specific, or general health supportive treatment, should play a major role in the care of chronic viral hepatitis and because chronic viral hepatitis is a complicated disease, supportive care must deal with various types of conditions.


1. For etiological anti-viral treatment, interferon (IFN) based treatment has an efficacy rate around 30 to 50% for the most common HCV genotype 1a and 1b; for some genotype of HCV, such as genotype 2 and 3, this rate is around 60 to 70%. However, because the side effects related with this treatment can be quite severe, many patients want to try other approaches. 
I have treated a number of patients who did respond to IFN based treatments and had their HCV test level turn “undetectable.” But, due to the accumulated damage and still present on-going damage, (detectable does not equate to total eradication)  symptoms such as fatigue, fibrosis, bilirubin metabolic disorders, and indigestion can still be major problems in the patient’s life.These problems still need to be treated.

2. Side-effects reduction.
For etiological anti-viral treatment, herbal treatment is not very effective and hence is not emphasized.  But, we found clinically that when IFN based treatment is combined with herbal treatment, patients experience much less side effects and can tolerate the IFN based treatment much better. There are some patients experimenting with using smaller and  more frequent doses of IFN together with herbal treatment and have found much less side effects.

3. Our Chinese herbal protocol aims to control the liver inflammation, release jaundice, facilitate bile secretion, improve micro-circulation, regulate abnormal immune reactions (joint pain, rashes), restoring the liver functions, and preventing or halting the progression of fibrosis.
It is a comprehensive approach and can help to slow down or reverse accumulated liver damages.

4. General health supportive treatments such as multi-mineral vitamins, Alpha-lipoic acid, anti-oxidants.

5. Diet: Absolutely no alcohol is the most important diet rule. In the compensated stage of liver disease, sufficient protein and calories are important. Avoid fatty and fried foods. Eat more fresh vegetables and fruits. 

6. Emotional support for chronic hepatitis patients is very important. To have a supportive family relationship, participate in support groups (Do make sure that the support group offers positive information.) To establish a mutual trust relationship with your health care provider(s) and participate in your treatment and decision making. 

7. Proper exercise and rest are very important during a chronic disease like viral hepatitis. Exercise should be gentle, not exhaustive. Don't let fatigue accumulate and over-exert yourself. Proper rest is an important part of the treatment. Many hepatitis C patients still work normally but they should reduce their work-load stress as much as possible and set aside some time each day for relaxation and rest.

8. Weight control is also important. Over-weight patients can cause fat deposits in the liver to build, which can promote fibrosis. About 20% of over-weight people will have fatty liver and among them, about 20% will develop cirrhosis. For hepatitis C patients, regulating the body weight will also help prevent the progression of fibrosis.

 

 
Return Home
About HCV
Overview
Causes and Transmission

 
Diagnostic Tests
Antibody
HCV RIBA
HCV RNA 
Viral Load

Viral Genotyping

 
Major Signs
Liver Inflammation
Fibrosis
Cirrhosis

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

 
Important Liver Function Test Markers
Overview
ALT and AST
ALP and GGT
Albumin
Bilirubin
PT (Prothrombin Time)
 
Liver Biopsy
Overview
Procedure
Inflammation Grade
Fibrosis Stage
 
Interferon Based Treatment
Overview
Ideal Candidate
Possible Side-effects
 
Liver Support with TCM
Overview
Liver Enzymes
Serum Albumin
Blood Clotting Factors
Bile metabolism
GGT
 
Dietary Considerations
Overview
Proteins
Essential Fats
Carbohydrates
Vitamins
 
 

 


 

 

Medical Information Sources:
http://www.nih.gov/
http://www.nlm.nih.gov/

http://nccam.nih.gov/
http://www.medlineplus.org/


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