### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
SIR, I AM SUFFERING FROM HCV DISEASED WHIHC FOUND 2003. AFTER NINE YEARS LEFT BUT MY LAB AND ULTRASOUND REPORT IS NOT CHANGED. NOW MY HCV GENOTYPE REPORT 3a, HGB 13.1 (11.5-17.5 NORMAL), PLT 103(40-75) MCHC 32.2 (33-35) %RDW-CV 14.8 (11.5-14.5) CREATININE .46 (0.50-0.90), ALT 43 (10-35). AST 30 (10-35) NOTE:- PLEASE I REQUEST YOU TELL ME ABOUT MY DISEASED STAGE AND TREATMENT THANKS - YOUR BEST REGARDS

### output:

Sir, Welcome to Chat Doctor .com I would like to know whether you are taking any medications for treatment of HCV or not ? Hepatitis C is virus that effects the liver and causes chronic liver damage that can leads to cirrhosis and even cancer of the liver.  Hence, it is very important to treat HCV. However, HCV treatment is expensive and requires regular monitoring. Without taking treatment of HCV only 10% of patient have spontaneous clearance of the virus that means most patients require to be treated with medications. Genotype 3 carries a relatively good prognosis and hence treatment is possible and effective. If we begin treatment for HCV you need to do the following: 1. CV RNA quantitative assay2. Liver biopsy to see the stage of liver damage - if you are not willing for a biopsy you can go for a newer non-invasive technique called FIBROSIS.  Based on the above reports we can start you on treatment for HCV with Peg interferon and Bahrain. After starting the medications you need to recheck the HCV RNA levels at 4, 12 and 24 was of therapy and 24 was after therapy is completed. The treatment is generally for 24 was depending on the response.