Hepatitis Management in Arizona

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The diagnosis of hepatitis C usually happens by accident. Most cases of the hepatitis C virus (HCV) will not initially present any symptoms and the virus could be discovered during a routine liver blood test like one taken during a physical or before donating blood. When your doctor notes an elevation in liver enzymes, they may perform additional tests to determine the cause and a hepatitis profile may be one of these tests. If the test is positive for HCV, then more tests can be performed to determine extent of infection and damage. A needle biopsy may be recommended. If you suspect or have been diagnosed with hepatitis C in Phoenix, AZ, then you should partner with a gastroenterologist who can help manage your condition right away. Arizona Digestive Health is equipped to diagnose and manage patients with hepatitis C, contact our location to request a consultation and get on the path to better digestive health today.

In addition to possible drug therapies, a few lifestyle changes are likely to be recommended to patients with hepatitis C in Phoenix, AZ. Alcohol use should be discontinued immediately as studies have proven HCV patients who regularly ingest alcohol have more active hepatitis and are much more likely to rapidly progress to liver failure. Additionally, drug treatment of HCV is less effective in alcohol users.

Patients who are overweight appear to be susceptible to more liver damage by the virus, as fat deposited in the liver increases scarring caused by inflammation. The development of scar tissue can then lead to cirrhosis, which can eventually cause liver failure. Patients who are overweight are typically recommended a weight loss program to get within 10 percent of their ideal body weight.

At present, the most effective drug therapy for hepatitis C in Phoenix, AZ involves the use of two medications called Pegylated Interferon and Ribavirin, given together for a 24 to 48-week period. The length of therapy and response to treatment vary depending on several factors like the genotype of the hepatitis C infection.

Common side effects of Interferon include fever, chills, headache, tiredness, loss of appetite, joint pain, and muscle aches. Side effects may improve as the body adjusts to the medication, and Tylenol or Advil and rest are helpful. Interferon can aggravate depression and you should inform your doctor if you have suffered from depression in the past or develop symptoms while in therapy.

Over the course of the drug therapy, follow-up visits and blood tests to monitor the effectiveness of treatment and potential toxicity are required. Interferon is associated with bone marrow suppression that causes lowered levels of white blood cells (leukopenia) and platelets (thrombocytopenia). Sometimes the dose of the Interferon must be lowered to avoid infections caused by leukopenia. Lowering the dose of Interferon typically results in an improvement in the white blood cell count, but may also reduce its effectiveness against the hepatitis C virus. Another alternative would be treating leukopenia with another injectable drug called Neupogen, which stimulates the bone marrow to produce more white blood cells. This strategy can allow the patient to continue the full prescribed dose of Interferon.

Ribavirin commonly causes anemia or a reduction in red blood cell mass. Anemic patients will usually experience fatigue. Some patients require a dose reduction or discontinuation of Ribavirin if the anemia progresses in severity. Another alternative to treat the anemia would be to prescribe Procrit, another injectable drug that stimulates the bone marrow to produce more red blood cells. Cardiac patients and some women of childbearing age may not be candidates for this drug and your provider at Arizona Digestive Health will help you decide if Ribavirin is right for you.

New drugs called protease inhibitors have recently become available for the treatment of hepatitis C and are used in addition to Interferon and Ribavirin. Please talk to your provider at Arizona Digestive Health about the drug treatment that will be ideal for your condition.

Genotype refers to the genetic makeup of a virus. HCV can mutate and change its genetic makeup. By varying its structure, it has evolved into six known genotypes. Identifying the genotype of HCV can help your provider at Arizona Digestive Heath determine the duration of therapy and projected response. The most common genotypes in the U.S. are 1a and 1b, accounting for more than 75 percent of all infections. These genotypes are considered the hardest to treat and the recommended length of treatment is 48 weeks. For patients with genotype 1a or 1b, the Sustained Virologic Response (SVR) for combination therapy with Pegylated Interferon and Ribavirin is 40 to 50 percent. Genotypes 2 and 3 account for approximately 20 percent of patients. These genotypes are easier to treat and respond to a recommended treatment period of 24 weeks, with an anticipated SVR of 80 percent with combined Pegylated Interferon and Ribavirin. The addition of protease inhibitors to standard hepatitis C therapy in Phoenix, AZ has resulted in significant improvements in treatment response.

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Patients with HCV in Phoenix, AZ have help and support in managing their condition through Arizona Digestive Health. As a partner of the nation's largest physician-led network of gastroenterologists, Arizona Digestive Health aims to provide the latest in treatment techniques and technologies that help patients with hepatitis C. If you or a loved one is in need of care for hepatitis C, then you can contact our location to request a consultation and live in better digestive health with treatment.

EAST VALLEY GASTRO- Dr Panossian: The most caring physician I have seen in years. Not that the others have been bad, he is just several notches above. He is very upbeat, great bedside manner with exceptional communication. Took his time and seemed to really care to find the cause of my belly pain- even suggesting possibilities outside of his scope of practice. He's definitely one of the good ones. I'd recommend him to anyone!

J.R. Google

Dr Panossian is a really great doctor. He answers all your questions and you never feel rushed. I feel very confident in his knowledge and care. Great bedside Manor. I wholeheartedly recommend him!!

Anonymous Google

My mom is a patient of Dr Panossian. He is wonderful, really listens, very professional and easy to talk to. I would highly recommend him to friends and co-workers.

K.C. Google

Dr Panossian is very good at listening and letting you explain what's going on, he also tries different things to see if they will help you, he hasn't stopped trying different medications or procedures if necessary to see if they would help. He is a very good Doctor.

Y.M. Google

I have been a patient of Dr. Panossian for many years. He is the kindest man. He takes the time to listen and to answer my questions. I would recommend him to friends and family.

R.J. Google

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