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Doctor insights on: Hep A Ab Total Positive Abnormal

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Dr. Brett Kalmowitz
644 Doctors shared insights

Hepatitis A (Definition)

A viral infection of your liver usually food born that will resolve over time with ...Read more


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What does a positive abnormal hep A AB, total mean?

What does a positive abnormal hep A AB, total mean?

Uncertain: The total hep A AB measures both the IgM that is elevated around the time of infection, and the IgG that is elevated for the rest of your life starting several weeks after your exposure to the virus. To really get useful information, you have to separate the IgG and the IgM. It may be possible to do that on the blood sample the lab already has, without getting blood drawn again. ...Read more

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I have a "positive abnormal" hep a ab, total result. Do I have it & what should I do?

I have a "positive abnormal" hep a ab, total result. Do I have it & what should I do?

Probably not acute: If you had hepatitis a in the past, the hepatitis a antibody igg would be positive, but the igm would be negative. Usually, when the report refers to the "total" antibody, it refers to the igg form, indicating past infection. If you received the hepatitis a vaccine, the igg would be positive as well. Acute hepatitis a would give a positive igm antibody. The are no chronic forms of hepatitis a. ...Read more

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On a recent blood test, hep a ab, total, came back as abnormal, what does this mean?

On a recent blood test, hep a ab, total, came back as abnormal, what does this mean?

Immune: I assume that by "abnormal" you mean positive or reactive. That means you're immune to hepatitis a, either because of past infection or vaccination. So in this case, "abnormal" is a good thing. ...Read more

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On ceruplasmin test hep A AB Total reactive ref range U mean? Also Hep A AB (IGM) nonreactive ref range U mean? What am I testing positive for?

On ceruplasmin test hep A AB Total reactive ref range U mean? Also Hep A AB (IGM) nonreactive ref range U mean? What am I testing positive for?

Lab tests: You do not give a value for the ceruloplasm. If you have antibodies to Hepatitis A virus and the IgG is positive and the IgM negative it suggests that you were immunized for hepatitis A or had infection in the past. Why not discuss these values with the doctor who ordered them? ...Read more

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I'm positive for hep b surface ab, should I be worried?

I'm positive for hep b surface ab, should I be worried?

Not necessarily: Your body makes hep b surface antibody in response to the hepatitis b vaccine. It can also make it to the hepatitis b virus. If you've been vaccinated, it's more likely to be due to the first reason. If you're still concerned though, a test for hep b surface antigen and a liver function panel should clear things up. Most likely, they were checking your immunity status. ...Read more

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What should I get tested for next after hep ab positive?

What should I get tested for next after hep ab positive?

Immunity: If you're hbsab (hep b surface antibody) positive, then you're immune to hepatitis b, either through prior infection or vaccination, and no further testing is required. If you're referring to hepatitis a antibody, a positive total or igg antibody means you're immune. ...Read more

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HBSAG & Hep B E Ab is positive. You mean to say that after 3 shots it will not affect me and my baby right??

Hepatitis B: If you are HepB surface antigen and HepB eAg positive you have a very active infection with this virus. Have no idea what shots you are referring to but they are not likely to help you, and whether your fetus will be affected is problematic. See your obstetrician and if possible either a GI or infectious diseases expert who deals with Hepatitis B infections, and do this ASAP. ...Read more

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Hep b surface ab results - my doc says a positive might not always stay positive?

Hep b surface ab results - my doc says a positive might not always stay positive?

Antibody levels: Antibodies can last a lifetime or disappear as we age. At one time patients were told that at age 65 they would only need one pneumonia shot, the current recommendation is to consider a booster after 5 years. ...Read more

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Hep c ab positive. Pcr non reactive. Am I contagious?

Hep c ab positive. Pcr non reactive. Am I contagious?

No: If you have a positive hcv antibody but a negative pcr, you most likely had hepatitis c at one time but cleared the infection, in which case you no longer have hepatitis and are not contagious. Talk to your doctor. ...Read more

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My hubby is HBSAG & Hep B E Ab positive & I had completed my hep b 3 shots series. Now we are planning for baby. Can we do unprotected sex? Is it safe?

My hubby is HBSAG & Hep B E Ab positive & I had completed my hep b 3 shots series. Now we are planning for baby. Can we do unprotected sex? Is it safe?

Treatment: Hepatitis B can be treated and your husband should seek treatment so that the infection does not progress to cirrhosis. Please consult an infectious disease or liver disease expert for his treatment. See this site for information.

http://www. Ncbi. Nlm. Nih. Gov/pmc/articles/PMC1079522/ ...Read more

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Hep B surface Ab - positive, Hep BE antigen - positive, Viral DNA 2000 IU. Acute Hep B DX. Tests don't match the serology timeline? Am I in recovery?

Hep B surface Ab - positive, Hep BE antigen - positive, Viral DNA 2000 IU. Acute Hep B DX. Tests don't match the serology timeline? Am I in recovery?

Need expert care: This situation is too complex for safe advice on this forum. You should be seeing an expert in person, or perhaps seek HealthTap's concierge service with an infectious diseases or liver disease expert. ...Read more

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I got 3 shots baby french kiss hep b positive but my ab is 66mui/ml my doc told me I'm immune should I get tested it's been 4 weeks I got no symptoms?

I got 3 shots baby french kiss hep b positive but my ab is 66mui/ml my doc told me I'm immune should I get tested it's been 4 weeks I got no symptoms?

Sounds immune: A previously vaccinated person who got 3 HepB shots is considered immune if his HepB sAb titer is above 10 mIU/mL, which means 66 is ok. Antibodies decrease over time, so such a patient has some choices for the near future. If he plans continued exposure to the virus, he may ask his doctor about rechecking his titer in a year, or maybe get a booster shot and recheck his titer in a few years. ...Read more

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I tested positive for hep b. What happens next?

I tested positive for hep b. What happens next?

Hep B: If you have chronic hep b, then your doctor will follow liver function tests, hep b viral dna load, hep b eag/ab. You may also need surveillance for liver cancer with regular liver sonogram and AFP (a tumor marker blood test). ...Read more

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What to do if I have needlestick with hep c positive pt.?

What to do if I have needlestick with hep c positive pt.?

Get tested ASAP: Best thing to do is go to your employee health department at work and have them do a blood test for hepatitis C (or HCV Ab). The good news is that you only have less than 3% chance of contracting hepatitis C from a needlestick and the better news is that if by chance you contracted it, the new medications that just came out can cure hepatitis C in > 95% of cases. ...Read more

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Acute hep vs hep c positive: which one is worse?

Dead friend is worse: Death is generally considered worse than no death. There are effective therapies for chronic hep c available today. ...Read more

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My Hep C test was 0.9 so is this a positive or a negative?

My Hep C test was 0.9 so is this a positive or a negative?

Reference range: The laboratory should report a reference range with the results. If it is above the reference range it would be positive. Was it an antibody test? If you have any concerns you may wish to get a nucleic acid test. ...Read more

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Just got my hep b titer back and it read >1000 positive. What does that mean?

Just got my hep b titer back and it read >1000 positive. What does that mean?

Immune: If you have high antibody titer for hep B it means you have good immunity and defense to this disease. ...Read more

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Please can you list Rare causes of chronic ALT^, not meds, hep, Wilson's, addisons, hemachr. Unusual but suspected causes please?

Please can you list Rare causes of chronic ALT^, not meds, hep, Wilson's, addisons, hemachr. Unusual but suspected causes please?

May never find it: I trust autoimmune hepatitis has been ruled out as well with appropriate labs. If your SGOT/AST is normal, you may simply be one of these folks who runs a high SGPT/ALT. People vary. If both are still up, and you've tried two weeks off all meds (including the ones you've listed, & any herbals), you may simply have metabolic syndrome &/or your liver telling you to hit the gym harder. ...Read more

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Can hep c cause a false positive for thc?

Can hep c cause a false positive for thc?

No: The rapid read cups may have certain things that interact to give a false positive but heo c is not one and confirmation at the lab will straighten this out ...Read more

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If someone is hep c positive, why would the hepatologist recommends to put them on a diet?

If someone is hep c positive, why would the hepatologist recommends to put them on a diet?

Unclear why: I treat patients with hepatitis C. I can't think of any reason why a diet would be used other than for overall improvement in health. Hepatitis c requires very specific therapy. Diet is not one of them ...Read more

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I am a hep. B positive and a nurse, can I work in nursery?

I am a hep. B positive and a nurse, can I work in nursery?

Yes: As long as you maintain the usual sterile precautions and do not bleed on the babies you should be fine. ...Read more

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Would my urine still be clear all the time if I was hep c positive?

Urine not affected: I'm not sure what you mean by "clear, " but urine tests have nothing to do with hepatitis c, which affects blood tests. ...Read more

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What should I do if a needle stick positive for Hep C poked me?

What should I do if a needle stick positive for Hep C poked me?

Get tested ASAP: Best thing to do is go to your employee health department at work and have them do a blood test for hepatitis C (or HCV Ab). The good news is that you only have less than 3% chance of contracting hepatitis C from a needle stick and the better news is that if by chance you contracted it, the new medications that just came out can cure hepatitis C in greater than 95% of cases. ...Read more

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My hep b surface antigen is reactive it means im positive of virus?

At least a carrier: There are other, additional, lab tests to see exactly what your infection and infectious status are. You need to follow up with your doc to find out, to see if you need rx, as well as need for testing of contacts. ...Read more

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Is it possible that hemochromatosis could be missed and a false positive of hep c be diagnosed instead?

Is it possible that hemochromatosis could be missed and a false positive of hep c be diagnosed instead?

Yes: Or they may be present concurrently. Some of the older tests for hepatitis C antibody actually gave false-positives in hemochromatosis patients. Nowadays, any competent physician can make the distinction or can diagnose both if present. Serum ferritin and perhaps a gene study and/or biopsy for hemochromatosis; nucleic acid test in blood for hepatitis C. ...Read more

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Can I test neg to hep b virus n test positive to hep b antigen? And why

Restate: Restate question. hepatitis B antibody which is positive after vaccine or have recovered developing immunity to the infection which means you have immunity. Hepatiis B antigenand hepatitis core antibody are positive during infection. After acute hepatitis B infection about 10 to 20% of people develop a chronic hepatitis B infection. You can do a HealthTap visit with copy of your lab for diagnosis ...Read more

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Can u get a "false"positive twice for hep c when getting your blood tested?

Probably not: Positive antibody to hep c does not mean active disease, a viral load should be ordered to confirm it, if hep c antibody is positive twice and negative viral load may mean that you were exposed to the virus but you get rid of it. ...Read more

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What is meant if you hep c test is positive but they sai the viral load is nondetectable?

Depends: It could be a false positive hepatitis c antibody which can be seen in women and patients with rheumatologic conditions. Or, the person could have had hepatitis c, but cleared the virus. ...Read more

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HC worker. 1992 Hep B vac, 2004 titer & booster. 2012 labs hep B neg. Labs done last wk; now told that Hep B test is positive?? How can this be?

HC worker. 1992 Hep B vac, 2004 titer & booster. 2012 labs hep B neg. Labs done last wk; now told that Hep B test is positive?? How can this be?

Two possibilities...: Lab tests aren't perfect and sometimes can be wrong. Or maybe the negative result was from the wrong kind of test. Vaccination makes hepatitis B surface antibody (HBsAb) positive. Tests for surface antigen (HBsAg) or core antibody (HBcAb) remain negative. Most important, you can be sure you are immune and protected by the vaccine -- so no worries. ...Read more

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My hep b surface antigen is positive but conformation test is negative, also all other test hsbc antibody and core negative, is it a false report?

My hep b surface antigen is positive but conformation test is negative, also all other test hsbc antibody and core negative, is it a false report?

Hepatitis B: R u certain the positive test was surface antigen & not surface antibody? The data u give don't fit the typical test results (see image). Perhaps the results were incorrectly reported to u. Check with doc who ordered tests. ...Read more

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Hi please help, hepb surface antigen positive, hep b surface antigen confirmatory negative, antibody negative and anti core negative. What does it mean?

Hepatitis B testing: You should have it rechecked. Hbsag or surface antigen tests are the same, not like in HIV which has screening and confirmatory test. Normally, in the window period after an acute infection, all test for surface antigen or its antibodies are negative except for antibody to core antigen. Hbsag or surface antigen appears right after infection or exposure and disappears in recovery. ...Read more

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Can having hep c cause a false positive urine or swab drug test?

Can having hep c cause a false positive urine or swab drug test?

What drug was tested: Hep C per se should not give a false positive drug test, however, it begs the question, how did you get Hep C? Were you abusing intravenous drugs?
If you have Hep C, get treatment as it is mostly curable now. ...Read more

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I recently gave blood and had hep c antibodies test positive. How can this be when I don't expose myself to anyway of coming in contact with it?

I recently gave blood and had hep c antibodies test positive. How can this be when I don't expose myself to anyway of coming in contact with it?

Check again: If you have had no known exposure (which may be impossible to be 100% sure if one has sexual contact), then get the test repeated to make sure that this was not a lab error. If the test remains positive, then you will need to find out if you have an ongoing Hep C infection which can be effectively treated. The consequence of untreated Hep C may be liver failure or cancer. ...Read more

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I was selling plasma and they called me and said I tested positive for hep c. I went and got tested at my doctors office and it was negative. Am I ok?

Depends on the tests: You may have good news if your positive test was a hepatitis C (HCV) antibody, and the negative one was a check of viral load by quantitative HCV RNA assay--this would suggest you have convalesced from a prior HCV infection. Don't assume however--ask each provider what tests were run. If it turns out you have HCV, get treated please. ...Read more

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Hi my hsbag positive, confirmatory test negative for hep b, also antibody and anticore negative. I did blood test 2 times, same results. Dr said its weird.

Hepatitis B: Not sure what the so-called confirmatory test was, but as a general rule having hepatitis b surface antigen means that you have the disease. You may be in the early window period before the development of antibodies, although anticore antibody usually happens early in the course of the disease and is confirmatory. You might go ahead and take the vaccine and see if the hepb ab becomes positive. ...Read more

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Which additional tests do I require to be diagnosed with hep b? Last year I got HBsAG positive, DNA HBV negative results. Which other markers of HBV tests should I be tested for to know whether I am a carrier and can infect others?

Which additional tests do I require to be diagnosed with hep b? Last year I got HBsAG positive, DNA HBV negative results. Which other markers of HBV tests should I be tested for to know whether I am a carrier and can infect others?

There: There are a number of hepatitis b virus (hbv) markers that are used to determine whether one is actively infected, latently infected, immune, or vaccinated. Some are tests to detect antibody, for example, antibody to hbv surface antigen (sometime referred to as hbsab), antibody to the hbv core antigen (referred to as hbcab) [and a subset of the core antigen is the "e" antigen, so antibody to that is referred to as the hbeab]. Some tests detect part of the hbv itself, so the surface antigen is referred to as hbsag, the core antigen - hbcag, the e antigen - hbeag, or the dna itself or hbv dna.

Hbsag can be detected in the blood from several weeks before onset of symptoms to months after onset. Hbsag is present in serum during acute infections and persists in chronic infections. The presence of hbsag indicates that the person is potentially infectious, regardless of the hbv dna level.

Hepatitis b virus, hbv dna, hbcag and hbeag are also evidence of ongoing infection. The presence of hbeag is associated with relatively high infectivity and severity of disease.

Anti-hbc is the first antibody to appear. Demonstration of anti-hbc in serum indicates hbv infection, current or past. Igm anti-hbc is present in high titre during acute infection and usually disappears within 6 months. Igg anti-hbc generally remains detectable for a lifetime.

Anti-hbe appears after anti-hbc and its presence correlates to a decreased infectivity. Anti-hbe replaces hbeag in the resolution of the disease. Nowadays, hbv dna has often been used to replace testing for hbeag.

Anti-hbs replaces hbsag as the acute hbv infection is resolving. Anti-hbs generally persists for a lifetime in over 80% of patients and indicates immunity. It is the only antibody which appears in normal patients who are vaccinated with the hbv vaccine. The presence of other antibodies suggest that the immunity was acquired thru a prior active infection rather than vaccination. ...Read more

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My husband tested positive for the hep c antibody, how could he have got this virus?

My husband tested positive for the hep c antibody, how could he have got this virus?

Blood exposure: Risk factors for hep c include blood transfusions prior to 1992, IV drug use, tattoos or piercings, unprotected intercourse, and shared straws for snorting drugs, and children of hep c positive mothers. ...Read more