Hello, Doctor. Please tell me whether I need treatment for hepatitis C? Here is the results of their analysis. Blood ELISA Gep.S - anti-HCV Society. result - positive, PCR HCV RNA result - positive, PCR HCV RNA (quantitative) result - positive., viral load 1.71 x 10 (5) IU / ml, PCR HCV RNA (genotyping), the result-genotype 1b ; Biochemical analysis. Total protein a sharp 72.3 m, total bilirubin cut-t 16; ALAT sharp r 178; Albumins sharp 56.4 m; Platelets sharp r 323. Diagnosis of Hepatitis C. The set passed ultrasound, all bodies without pathologies. Little or no symptoms do not. Said that there is no treatment necessary, and will need to get tested in 2 months. Is it objective? And if there is a need for treatment, how quickly should it start? Thanks in advance. Yours Ekaterina.

Respond Stanislav Y. Karpov, hepatology, gastroenterology, hepatology and gastroenterology clinic Medal Question of the treatment is not so clear. But if you have ever observed increase of ALT and AST in 3 or more times, then treated a must, since it suggests are likely to moderate or even high activity of hepatitis, which means an inevitable move to cirrhosis. Similar question: hepatitis C-RNA (Quantitative) blood PCR result is positive +. Nagruzka1 virus, 76/10 (6) IU / ml, a second analysis of HCV-RNA (genotyping), blood, biopsy results of PCR genotype ...