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Suggest Treatment For Hepatitis C In An Elderly Person

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Posted on Tue, 21 Feb 2017
Question: I am70 and wonder every time I seen the ad on TV stating that Baby Boomers need to have a Hepatitis C test, WHY? What is the reason behind this?
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (53 minutes later)
Brief Answer:
Information

Detailed Answer:
Hello,

People born between 1945 and 1965 are 5 times more likely to have Hepatitis C. And not know it. It can take many years for it to cause symptoms.

It's thought that our group is more likely to have it because it wasn't identified until 1989, and there was no blood screening or warning about it until 1992.

At highest risk for having Hepatitis C are people who ever used IV drugs (even once), received organ transplants before 1992, received a transfusion before 1992, or have been a health care worker. However, it isn't clear all of the ways people may have been infected, such as sharing a razor, or a toothbrush. So sometimes people have no idea how they were infected.

So, that's the reason for the broad recommendation to have all people born between 1945 and 1965 tested one time.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh (5 hours later)
Would this not have bee picked up if you were a regular blood donor?
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (44 minutes later)
Brief Answer:
Yes, it should be picked up with blood donation screening tests.

Detailed Answer:
If you are a regular blood donor since 1992, it should have been picked up if you have it. Donated blood is screened for Hepatitis C, among other things - and if it is positive for Hep C, they are to notify you the donor.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh (42 hours later)
OR if you have had a medical procedure? Do you have any idea how many cases of Hep C has been found in this random way?

One more question. If you had the shingles virus as a child, do you still need a vaccination for this at 60-65?
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (23 minutes later)
Brief Answer:
Information

Detailed Answer:
There isn't routine screening for Hepatitis C before medical procedures. It might be found if there is already liver involvement and the liver enzymes are high. Then a doctor might order Hepatitis B and C tests to evaluate for hepatitis as a cause of elevated liver enzymes.

Regarding your question on the shingles vaccine:
The virus that causes chicken pox is the same as the virus that causes shingles. However, the first infection with the virus is chicken pox, and then if it re-emerges (it is dormant in root ganglia of our nervous system) then it causes shingles. The vaccine is for the reemergence. Having chicken pox as a child does not protect against shingles. It would be unlikely to also have shingles as a child. Are you sure you had shingles as a child?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh (38 minutes later)
Actually it was my little brother, he was a cub/boy scout at the time and developed a painful rash on his face. At the time (approx. 1958) the doctors put him in the hospital in what was called seclusion, which was a joke as this was a garden level room and I sat outside an open window. After about two weeks, they got the rash under control and called it Herpes Zoster. He carries the scars on his face this day.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (26 minutes later)
Brief Answer:
Shingles

Detailed Answer:
This is unusual but it's possible he had a mild case of chicken pox before this and then developed shingles a few years after the chicken pox.

From what I can find, there is still disagreement on whether a person who has had shingles should get the vaccine.
Here is some information that you might find useful, although it's from 2011: http://www.yyyyyyy.harvard.edu/diseases-and-conditions/the-shingles-vaccine

I had shingles myself a few years ago (in early 50s) and have chosen not to have the vaccine as its efficacy is not as good as I would like to see in an optional vaccine (about 50% effective although may be more effective in people under 80). I am waiting for a newer vaccine that is awaiting FDA approval that is proposed to be significantly more effective and will consider the new one when it comes out.
Here is some information on it: http://www.yyyyyyyyyyyy.com/viewarticle/868816
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh (2 days later)
I think my little brother has decided against it, thank you so much for the information,
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (25 hours later)
Brief Answer:
Best regards -

Detailed Answer:
Ok. He may want to reconsider when the newer shingles vaccine comes out. We'll see how good that one is.

Best regards,
Bonnie Berger-Durnbaugh, MD
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3133 Questions

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Suggest Treatment For Hepatitis C In An Elderly Person

Brief Answer: Information Detailed Answer: Hello, People born between 1945 and 1965 are 5 times more likely to have Hepatitis C. And not know it. It can take many years for it to cause symptoms. It's thought that our group is more likely to have it because it wasn't identified until 1989, and there was no blood screening or warning about it until 1992. At highest risk for having Hepatitis C are people who ever used IV drugs (even once), received organ transplants before 1992, received a transfusion before 1992, or have been a health care worker. However, it isn't clear all of the ways people may have been infected, such as sharing a razor, or a toothbrush. So sometimes people have no idea how they were infected. So, that's the reason for the broad recommendation to have all people born between 1945 and 1965 tested one time.