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How to treat high HCV RNA levels and elevated creatinine with Ayurveda and diet?
General Medicine
Consultation #54781
64 days ago
398

How to treat high HCV RNA levels and elevated creatinine with Ayurveda and diet? - #54781

Client_6c79b6
$3

since my hcv rna report is 90500iu/ml. i need treatment through ayurveda and diet kindly suggest. also my creatine is 5.2 since 2 months

How long have you been diagnosed with HCV?:

- Less than 6 months

Have you experienced any symptoms related to HCV or kidney issues?:

- No symptoms

What is your current dietary habit like?:

- Vegetarian

How is your water intake throughout the day?:

- Moderate — 4-7 glasses

Have you had any previous treatments for HCV or kidney issues?:

- Other therapies

How would you describe your overall energy levels?:

- Moderate — some fatigue

Do you have any other medical conditions?:

- Hypertension

Doctors' responses

Dr. Ravi Chandra Rushi
Master of Surgery in Ayurveda
63 days ago
5

This is a high-risk situation. HCV RNA positive with creatinine 5.2 indicates liver infection with significant kidney impairment. Ayurvedic support can be given, but do not delay hepatologist/nephrologist care. Ayurvedic support (adjunct) For liver (yakrit) Bhumyamalaki churna 3 g twice daily with lukewarm water Kalmegh churna 2 g twice daily after food Guduchi satva 500 mg twice daily For kidney (vrikka): Punarnava mandoor 1 tablet twice daily after meals Gokshuradi guggulu 1 tablet twice daily Varunadi kwath 20 ml twice daily General support Arogyavardhini vati 1 tablet twice daily (monitor liver enzymes) Diet: Low protein (as per creatinine level), avoid red meat No alcohol, no fried/spicy food Use lauki, tori, pumpkin, barley water Limit salt if swelling present


0 replies
Dr. Gursimran Jeet Singh
Bachelor of Ayurvedic Medicine and Surgery
63 days ago
5

While maintaining a transplanted kidney for 14 years is an incredible milestone, a sudden jump in creatinine from 2 to 5 alongside an active Hepatitis C viral load (90400 IU/mL) is an absolute medical emergency. Here is exactly what is happening. The Hepatitis C virus is not just a liver disease; it actively attacks the micro-vessels of the kidneys (often causing a condition called HCV-associated glomerulonephritis). The virus, combined with the recent infection you mentioned, is causing severe inflammation and rapidly destroying the filtering units of your transplanted kidney. ✓Furthermore, from an Ayurvedic perspective, you are in a highly delicate state. Because you are on lifelong immunosuppressant medications to prevent your body from rejecting the transplant, you cannot take standard Ayurvedic immunity boosters. Herbs like Giloy, Ashwagandha or Tulsi will stimulate your immune system, causing it to immediately attack and reject your transplanted kidney. ✓Emergency and Ayurvedic Action Plan Your primary focus must be saving the graft and clearing the virus through modern medicine. Ayurvedic herbs can only be used as gentle, non-immunostimulating support to flush the toxins. 1. Immediate Nephrology & Hepatology Intervention You must see your transplant nephrologist and a hepatologist immediately. You urgently require modern Direct-Acting Antivirals (DAAs) to kill the Hepatitis C virus, and your immunosuppressant drug levels (like Tacrolimus or Cyclosporine) need to be adjusted, as a failing kidney cannot clear these drugs properly, leading to severe toxicity. This is completely non-negotiable. 2. Gokshura (Tribulus terrestris) Decoction Usage: Boil 1 teaspoon of coarse Gokshura powder in 2 cups of water until it reduces to 1 cup. Strain and drink. Time: Once a day in the morning. 3. Bhumyamalaki (Phyllanthus niruri) Dosage: 1/2 teaspoon of powder. Time: Twice a day with normal water. ✓Crucial Care Rules Strict Fluid Restriction: You mentioned drinking 2-3 liters of water. Because your creatinine is 5 and your urine output has changed, your kidney is failing to filter liquid. Drinking 3 liters right now will cause dangerous fluid accumulation in your lungs (pulmonary edema) and around your heart. You must strictly limit your water intake to exactly what your nephrologist calculates based on your 24-hour urine output. Zero Potassium and Plant Protein: Stop eating bananas, tomatoes, coconut water, spinach, and heavy lentils (dals). A kidney functioning at this low level cannot filter potassium. A sudden spike in blood potassium can cause instant heart failure. No Unprescribed Painkillers: Absolutely do not take any over-the-counter NSAIDs (like Ibuprofen, Diclofenac, or Naproxen) for any pain or fever. They constrict blood flow to the kidneys and will instantly destroy whatever filtering capacity your graft has left. Regards, Dr Gursimran Jeet Singh MD Panchakarma


0 replies
Dr. Anjali Sehrawat
Bachelor of Ayurvedic Medicine and Surgery
63 days ago
5

I hear your concern — having Hepatitis C (HCV RNA 90,500 IU/ml) along with high creatinine (5.2 for 2 months) is serious. Ayurveda can support liver and kidney health, but it cannot replace modern antiviral therapy for HCV. With creatinine at this level, kidney function is already compromised, so you must stay under close medical supervision. Rx 1.Arogyavardhini vati 2 tab twice daily with water after meals 2.Punarnava mandoor 2 tab twice daily with water after meals 3.Kalmegh capsule 1 cap twice daily with water after meals 4.Phalatrikadi kwath 20 ml with 20 ml water twice daily after meals Diet & Lifestyle -Diet: Light vegetarian meals: khichdi, soups, steamed vegetables. Avoid fried, oily, spicy, sour foods. Include turmeric, coriander, fennel, bottle gourd, and pomegranate. -Hydration: Warm water, barley water, coconut water (if potassium is normal). -Routine: Early dinner, avoid late nights. -Yoga/Pranayama: Gentle Anulom Vilom, Shavasana, Bhramari for stress relief.


0 replies
Dr. Maitri Bhavesh Kumar Acharya
Bachelor of Ayurvedic Medicine and Surgery
63 days ago
5

Hello, Your situation is high risk and complex -Kidney transplant recipient (14 years) -creatinine rising 2-> 5 (significant decline in function) -positive Hepatitis C RNA (active viral load) This is not a routine case for self managed Ayurveda Critical priority 1) Kidney safety comes first -possible graft dysfunction/rejection/infection/dru toxicity You must -be under nephrologist supervision Review -immunosuppressant levels -kidney biopsy 2) HCV infection needs proper antiviral load Modern treatment (DAA therapy) can -cure HCV in most cases -protect both liver + transplanted kidney Ayurveda alone cannot clear active HCV infection About Ayurveda in your case You can use Ayurveda only as supportive care, Not primary treatment Avoid -heavy metals -strong detox -unknown herbal combinations These can damage kidney further Internal management 1) Kidney support -Punarnava capsule= 1 cap twice daily after meals =helps fluid balance, mild renal support 2) Urinary system support -Gokshura churna= 1/2 tsp with warm water twice daily after meals =Supports urinary function 3) Liver support (important for HCV) -Guduchi ghan vati= 1 tab twice daily after meals =anti inflammatory, liver supportive Diet very important -light, easily digestible food -lauki ,tori, rice, moong dal -controlled protein Restrict -salt important -high protein excess -processed food Water -do Not self decide -follow nephrologist advice based on urine output Daner signs -sudden swelling -reduced urine -breathlessness -confusion Immediate hospital Your case requires- nephrologist, hepatologist, careful coordination Ayurveda role= support only, not cure Creatinine 5= serious HCV positive= treat medically -Avoid experimenting Do follow Hope this might be helpful Thank you


0 replies

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