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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed Hepatitis C, Stage 4 Cirrhosis. Feeling Fatigue, Low Platelets, Bleeding Gums. Possible Reason?

I am a 59 yr old female with a diagnosis of Hep C----Geno Type 2 as well as stage 4 of cirrohsis. I haven't had a drop of alchol since I was a teenage and even then it was not very much. I am waiting for a new drug to start treatment. my questions: 1. Fatique I can sleep 9 - 10 hours a night. Get up and do a few things and about 2 hours lay back down and take a 4 hour nap without even hearing the phone ring. I often take another 1 - 3 hour nap before dinner. I am of work for the summer but don't know how in the world i am going to be able to go back. My hepatologist says the fatigue is not from the illness but I have read otherwise. What is your opinion?
Thank you very much!!!
2. Low platelets. Bleeding gums out of nowhere. Discovered on one side of my mouth I need 3 root canals and crowns. That has happened in the last 5 months. I don't know yet what is going on one my right side. Plues. gums have suddenly started receeding at a rapid pace. What, in your opinion is the prognosis of my teeth and gums? Not sure if I should sink the money into these three teeth with no dental insurance,
Tue, 6 Aug 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
As you stated that you have Hepatitis C ,but fatigue is not due to C.
In my opinion there may be anemia in your case due to low platelets count .
This anemia may be the root cause of sleep.
As for dental problems , you will have to consult a dental surgeon and get his opinion.
Good luck.
Dr. HET
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Diagnosed Hepatitis C, Stage 4 Cirrhosis. Feeling Fatigue, Low Platelets, Bleeding Gums. Possible Reason?

Hello, Thanks for the query to H.C.M. Forum. As you stated that you have Hepatitis C ,but fatigue is not due to C. In my opinion there may be anemia in your case due to low platelets count . This anemia may be the root cause of sleep. As for dental problems , you will have to consult a dental surgeon and get his opinion. Good luck. Dr. HET