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Welcome to the Hep Forums, a round-the-clock discussion area for people who have Hepatitis B, C or a co-infection, their friends and family and others with questions about hepatitis and liver health. Check in frequently to read what others have to say, post your comments, and hopefully learn more about how you can reach your own health goals.

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Recent Posts

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91
Am I Infected? / Help ease my mind
« Last post by OCDworrygirl on August 17, 2020, 09:52:14 am »
I have OCD and am being treated (just not feeling so great yet) most of my fears are about contamination and spreading things to others.  I was at the hospital a few weeks back and had to use the restroom to collect a urine sample.  I was wiping down the area with a wet paper towel (half wet half dry) to clean up the seat before sitting.  On the inside where i could not see visually I went over an area of dried blood. I immediately got rid of the towel and washed my hands twice and ran out of the bathroom.  I did have many sore red cracks on my hands from OCD washing.  Is there any risk of exposure here.  The DR basically laughed at me and made me feel dumb.  I am now living my life so afraid to go anywhere or spread anything to others in case i did contract anything.  I hardly touch my kids and am afraid to serve them food make them water cups etc because i worry that at any point i can scratch myself or my fingers could crack and i wouldn't know.  I am always afraid of item to item to item to item contamination of blood i cannot see but could possibly be there.  I am working through my OCD issues with Drs and therapy however I could use some reassurance on wether it was risk of exposure, or even if i did contract something would i spread it to my family with every scratch, crack, etc.  Thank you for taking the time to read it.  I appreciate anything that gives me an educational way to look at this. 
92
Nonalcoholic Steatohepatitis (NASH) / Fatty Liver Disease Tied to Risk of Metabolic Problems in People With HIV
« Last post by Hep Editors on August 14, 2020, 10:51:27 am »
Among people with HIV, non-alcoholic fatty liver disease (NAFLD) is associated with a higher risk of metabolic health problems, Healio reports.

Fatty liver disease is the most common liver disease in the global general population and is associated with type 2 diabetes, irregular blood lipids and high blood pressure. The condition can give rise to inflammation, which over time can lead to fibrosis, cirrhosis and liver cancer. In its more severe form, fatty liver disease is known as non-alcoholic steatohepatitis (NASH).

As described in The Journal of Infectious Diseases, a research team led by Thomas Krahn, MD, of McGill University Health Centre in Montreal, assessed the association between fatty liver disease and new diagnoses of metabolic health conditions among 485 people with HIV who did not have hepatitis B or C viruses (HBV or HCV). They drew their sample from the LIVEr in HIV, or LIVEHIV, cohort.

For more...
https://www.hepmag.com/article/fatty-liver-disease-tied-risk-metabolic-problems-people-hiv
93
Hepatitis C Research News & Studies / State-by-State Hepatitis C Stats Reveal Disparities
« Last post by Hep Editors on August 10, 2020, 10:39:45 am »
disparities according to sex, race, birth cohort and state of residence.

Heather Bradley, PhD, of the Centers for Disease Control and Prevention (CDC), and colleagues estimated the state-by-state prevalence of hep C—the number of people living with the virus—by analyzing National Health and Nutrition Examination Survey data along with state-level HCV-related and drug overdose–related mortality data from the National Vital Statistics System. To account for populations not covered by the national survey, the researchers looked to a literature review.

Publishing their findings in Hepatology Communications, the study authors estimated that 1.3% of men and 0.6% of women in the United States have hep C, meaning that prevalence of the virus is 2.3-fold higher among men compared with women.

For more...
https://www.hepmag.com/article/statebystate-hepatitis-c-stats-reveal-disparities
94
Hepatitis B / Hepatitis B Remains Woefully Underdiagnosed
« Last post by Hep Editors on August 07, 2020, 02:07:56 pm »
More than four out of five people who are privately insured and living with hepatitis B virus (HBV) have not been diagnosed with the virus.

Eiichi Ogawa, MD, PhD, of Stanford University Medical Center, and colleagues analyzed data from the commercial U.S. Truven Health MarketScan Database to identify people with private health insurance who had been diagnosed with hep B. To estimate the number of people in the database who had the virus, the study authors relied on data from the National Health and Nutrition Examination Survey.

Read more...
https://www.hepmag.com/article/hepatitis-b-remains-woefully-underdiagnosed
95
Am I Infected? / Re: Do I need to get testing?
« Last post by Lynn K on August 06, 2020, 04:16:42 pm »
Can I get HIV or Hepatitis C from this encounter? 
No

https://www.hiv.gov/hiv-basics/overview/about-hiv-and-aids/how-is-hiv-transmitted

https://www.webmd.com/hepatitis/hepatitis-c-protecting-others

“ How Does Hepatitis C Spread?

Hepatitis C is spread only through exposure to an infected person's blood.

High-risk activities include:

Sharing drug use equipment. Anything involved with injecting street drugs, from syringes, to needles, to tourniquets, can have small amounts of blood on it that can transmit hepatitis C. Pipes and straws to smoke or snort drugs can have blood on them from cracked lips or nosebleeds. Get into a treatment program if you can. At the very least, don't share needles or equipment with anyone else.
Sharing tattoo or piercing tools. Nonsterile items and ink can spread contaminated blood.
Blood transfusions in countries that don’t screen blood for hepatitis C.
Nonsterile medical equipment. Tools that aren’t cleaned properly between use can spread the virus.
Blood or cutting rituals. Sharing the tools or exchanging blood can transmit hepatitis C.

Medium-risk activities include:

Sharing or not disposing of grooming and hygiene supplies. This includes razors, toothbrushes, nail clippers, or anything else that could have your blood on it. Cover any open wounds or sores with bandages. Carefully dispose of tampons, sanitary napkins, tissues, used bandages, and anything else that might have your blood on it.
Unprotected sex. It’s rare, but you can spread and catch it from sex, especially during menstruation or certain sex practices like fisting. It’s more likely you’ll spread it if you have HIV or another sexually transmitted infection.
Pregnancy and birth. There’s a small risk for a mother to pass the disease on to her child before or during birth. The odds go up if the mother has HIV.
Needle-stick injuries. Health care workers and caregivers are most likely to get it this way.

Things that Don’t Spread Hepatitis C

It cannot be spread through:

Coughing
Sneezing
Hugging
Kissing
Breastfeeding (unless nipples are cracked or bleeding)
Sharing utensils or glasses
Casual contact
Sharing food and water
Mosquito or other insect bites
That means everyday contact isn’t risky. The odds of it spreading between people in a household are near zero.”


Do I need to undergo testing?
No

However, you may want to consider counseling for anxiety related to unfounded fears of contracting illnesses
96
Advanced Liver Disease / Immunosuppressants for Liver Transplant Recipients May Not Increase COVID-19...
« Last post by Hep Editors on August 05, 2020, 11:31:44 am »
For people who have received liver transplants, taking immunosuppressant medications to prevent rejection of the organ apparently does not increase the risk of COVID-19, the respiratory disease caused by the new coronavirus, MedPage Today reports.

That’s according to a small study conducted in Italy and published in a letter in the Lancet Gastroenterology & Hepatology. The study also suggests that due to the fact that an excessive immune response may be one of the drivers of negative health outcomes and deaths from COVID-19, immunosuppressants may actually be protective for those who contract coronavirus.

For more...
https://www.hepmag.com/article/immunosuppressants-liver-transplant-recipients-may-increase-covid19-risk
97
Am I Infected? / Do I need to get testing?
« Last post by jgicani on August 05, 2020, 08:30:28 am »
Hello, I would greatly appreciate your input as I have been worrying about this non-stop.  I was at my dermatologist's office sitting on the exam table.  I had my bag with me as well on the exam table.  As I was leaving, I noticed a small amount of dried blood on the exam table.  I pointed it to the doctor, and he apologized, stating that they sometimes do procedures and blood gets on the table.  I myself did not touch the blood, but my bag touched the dried blood and my clothes also touched the dried blood.  I didn't think anything of it at that time, but when I got home, I remembered that I have torn cuticles on some of my fingers and thumb.  I always get the torn cuticles especially nowadays from washing hands.  Some of the torn cuticles are raw/red.  I'm afraid that HIV/Hepatitis C from the dried blood on the table got onto my bag or my clothes and then I touched my bag and clothes and then HIV/Hep C got into me through the torn cuticles.  Can I get HIV or Hepatitis C from this encounter?  Do I need to undergo testing? 
98
Post Hepatitis C Treatment / Re: 12 weeks post Mavyret treatment and I’m going to lose my mind!!!
« Last post by Lynn K on August 04, 2020, 02:59:30 pm »
Sounds like what we were guessing is confirmed by the hepatologist I know it’s a long wait but hang in there
99
Post Hepatitis C Treatment / Re: 12 weeks post Mavyret treatment and I’m going to lose my mind!!!
« Last post by joy2world on August 04, 2020, 01:31:23 pm »
Update-

GI doc was puzzled with the <LLOQ target detected results and consulted with their Hepatologist.

She wasn’t at all concerned (thankfully) and advised her to recheck my labs again in 3 months. Apparently, she has seen this happen in her patients before and it isn’t a cause for concern since I haven’t had any sort of viral relapse in 12 weeks.

Fingers crossed for an SVR 24. The wait continues!
100
Advanced Liver Disease / Study of Obese Mice Finds Exercise Helps Prevent Liver Cancer
« Last post by Hep Editors on August 04, 2020, 11:15:47 am »
Mice engineered to become obese and develop type 2 diabetes did not develop liver cancer when provided access to an exercise wheel in a recent study, whereas most of their counterparts with no wheel did develop the malignancy.

The mice in the experiments closely resembled humans with non-alcoholic fatty liver disease (NAFLD), a major driver of hepatocellular carcinoma, the most common form of liver cancer, among humans. In its more severe form, fatty liver disease can progress to non-alcoholic steatohepatitis (NASH).

Read more...
https://www.hepmag.com/article/study-obese-mice-finds-exercise-helps-prevent-liver-cancer
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