Feel Sharp · Stomach & appetite
Nausea & Appetite Loss Check
Feeling nauseous more often?
Feeling nauseous more often? Not feeling hungry, even at mealtimes? Maybe your energy has been low too. When these changes keep happening, it’s hard to know whether to wait or get checked.
Hepatitis B and C can sometimes come with nausea, appetite loss and tiredness. They can also be present with no noticeable symptoms. How you feel alone cannot give you a clear answer.
This check is a starting point. It screens for hepatitis B and C and looks at your liver health alongside other basic health markers. A Marham General Physician talks you through the results and tells you if anything needs follow-up. If the hepatitis C antibody screen is reactive, a separate HCV RNA test is needed to find out whether there is a current infection.
Understand what your results mean and what to do next. Feel sharp. Stay sharp.
کیا بار بار متلی ہوتی ہے؟ کھانے کا دل نہیں کرتا، اور ساتھ تھکن بھی رہتی ہے؟ جب یہ تبدیلیاں مسلسل محسوس ہوں تو سمجھ نہیں آتا کہ انتظار کریں یا چیک کروائیں۔ ہیپاٹائٹس بی اور سی میں کبھی یہ علامات ہو سکتی ہیں، لیکن کئی لوگوں کو کوئی واضح علامت نہیں ہوتی۔ اس چیک میں دونوں وائرس کی اسکریننگ کے ساتھ جگر اور صحت کے دیگر بنیادی ٹیسٹ شامل ہیں۔ مرہم کا جنرل فزیشن رپورٹ سمجھاتا ہے اور بتاتا ہے کہ آگے کسی ٹیسٹ کی ضرورت ہے یا نہیں۔
Updated 28 September 2026
What’s tested, and why
Anti HCV
About this testBlood C/E (CBC with Blood Flim Review )
Blood Sugar Fasting (BSF)
About this testHBsAg
About this testLFTs (T-Bili, ALT, AST, ALP, ALB, GGT, T-Prot, Globulins, A/G )
Lipid Profile
About this testRFTs (Renal Function Test with eGFR)
About this testUrine for C/E
About this test
General Physician consultation, included — Online or In Clinic Consultation
Our team calls to arrange it once your reports are ready.
Nine tests from one blood sample and one urine sample, plus the doctor who reads them together.
- HBsAg: the standard screening test for hepatitis B. It looks for a protein on the surface of the virus, so a positive result means the virus is present and needs following up, not that you were merely exposed once.
- Anti HCV: the standard screening test for hepatitis C. It looks for your antibodies rather than the virus itself, which is why a reactive result is a reason to test further, not a diagnosis. Antibodies stay positive for life, including in people who cleared the infection on their own or were cured years ago. Your doctor confirms active infection with an HCV RNA PCR test, ordered separately.
- Blood C/E (CBC with blood film review): haemoglobin, white cells and platelets, plus a technologist looking at the cells under a microscope. The film matters here, because a low platelet count is one of the earliest signs that a liver has been quietly scarred.
- LFTs: bilirubin, ALT, AST, ALP, GGT, albumin and total protein. Read alongside the viral tests these change the plan: a positive result with normal enzymes is a different situation from a positive result with the liver already inflamed.
- Blood Sugar Fasting: your sugar level after an overnight fast. A snapshot rather than an average. If diabetes is your main concern rather than hepatitis, an HbA1c is the better test and covers three months instead of one morning.
- Lipid Profile: total cholesterol, LDL, HDL and triglycerides.
- RFTs with eGFR: urea, creatinine, electrolytes and an estimated filtration rate. Kidney function also decides which hepatitis treatments are suitable, so it is not filler here.
- TSH: the first test of thyroid function.
- Urine for C/E: protein, sugar, blood, and signs of infection. The one test here that finds things no blood sample would.
- General Physician consultation, included: a Marham doctor reads all nine together, explains exactly what a positive or negative viral result means, and arranges the next test if one is needed. Online or at a clinic. Part of the package, not an add on.
What this does not include. There is no HCV RNA PCR, no hepatitis B viral load, no anti-HBs to tell you whether your vaccination worked, no ultrasound and no fibrosis scan. Those are the next steps when a screen comes back positive, and your doctor orders only the ones you need.
Feel Sharp. Stay Sharp.
The doctor tells you which result explains how you feel, what to take, and when to test again so you know the treatment has worked.
If everything is normal, that is useful too: it rules out the commonest causes and moves the conversation to the next question, such as sleep, blood sugar or mood.
Not just a report. An answer.
Before your test
- Fast for 8 to 12 hours before the sample. Plain water is fine. The fast is for the lipid profile and the fasting sugar; the hepatitis tests, the blood count, the liver, kidney and thyroid tests are unaffected by food.
- Book a morning slot, which is the practical end of an overnight fast.
- Collect the urine correctly, because this is the one sample you handle yourself. Use the first urine of the morning if you can, wash your hands, pass a little into the toilet first and catch the middle of the stream in the container. A carelessly taken sample is the commonest reason a urine report has to be repeated.
- Women should not give a urine sample during a period. Blood in the sample makes the result impossible to read properly. Reschedule for a few days after it finishes.
- A hepatitis B vaccination does not make HBsAg positive, so being vaccinated is not a reason to skip this test. If what you actually want to know is whether your vaccination worked, that is a different test called anti-HBs, and your doctor can order it.
- Tell the doctor about every herbal or hakeem preparation and any regular paracetamol. Both raise liver enzymes on their own, and an unexplained raised ALT is exactly the finding this panel is trying to interpret correctly.
- Avoid alcohol for at least 72 hours before, if it applies to you, since it moves both the liver enzymes and the triglycerides.
- Do not train hard in the 48 hours before the sample. Heavy exercise raises AST and creatinine and can make a healthy liver and healthy kidneys look abnormal.
- A negative result does not cover a very recent exposure. Both tests need weeks to turn positive after an infection, so if you have a specific worry about something that happened in the last month or two, say so, and your doctor will tell you when to repeat it.
- Postpone the panel if you have a fever or an active infection.
- Not for under 18s.
- Your results are yours. A positive screen is a medical finding to be worked up, not a verdict, and the consultation is a private one to one conversation with the doctor.
Questions people ask
ہیپاٹائٹس کیا ہے اور یہ کیسے پھیلتا ہے؟
ہیپاٹائٹس کا مطلب جگر کی سوزش ہے، اور پاکستان میں اس کی سب سے عام وجوہات ہیپاٹائٹس بی اور سی نامی وائرس ہیں۔ یہ دونوں خون کے ذریعے پھیلتے ہیں: استعمال شدہ سرنج یا ڈرپ، دانتوں کے غیر محفوظ آلات، حجام کے وہی بلیڈ یا استرا جو پہلے کسی اور پر استعمال ہوا ہو، کان یا ناک چھدوانے کے اوزار، اور پرانے زمانے کی خون کی منتقلی۔ ہیپاٹائٹس بی جنسی تعلق اور ماں سے بچے میں بھی منتقل ہو سکتا ہے۔ اہم بات یہ ہے کہ یہ کھانے پینے، ساتھ بیٹھنے یا ہاتھ ملانے سے نہیں پھیلتے۔ سب سے بڑا مسئلہ یہ ہے کہ برسوں تک کوئی علامت نہیں ہوتی، اس لیے بہت سے لوگوں کو اپنی بیماری کا علم ہی نہیں ہوتا اور تشخیص اس وقت ہوتی ہے جب جگر کافی متاثر ہو چکا ہو۔ اسی لیے ایک بار ٹیسٹ کروا لینا عقلمندی ہے۔ مزید پڑھیں: ہیپاٹائٹس
اگر رپورٹ پازیٹو آ جائے تو کیا کرنا چاہیے؟
I feel completely fine. Why would I test for hepatitis?
How is this different from the Fatty Liver & Cholesterol Check?
Can I just book the two hepatitis tests on their own?
All-inclusive price
Rs. 9,800
9 lab tests included
General Physician consultation, Online or In Clinic Consultation
Home sample collection in Lahore
Rs. 9,800
All-inclusive