Doctor insights on:
Hep A Total
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
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
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
I got tested because I think I might have herpes. The results came in as "HEP A AB, TOTAL REACTIVE" and "RPR R 1:1 DIL". What does that mean?
I would interpret: These tests as: 1) you have had hepatitis A: reactive hepatitis A AB/antibody. This form of hepatitis is transmitted as a result of "fecal/oral" contamination or poor hygiene associated with toileting practices. You may have never known you were sick. The RPR is a test for syphilis but a titer of only 1:1 is very low. It may be a false positive--no conclusions about prior or current infection. ...Read more
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
Immune: You have antibodies against this nuisance illness from having met it or being immunized. ...Read more
Interpret hepatitis B panel results: Hep B surface antigen (HBsAg) - Non-reactive, Hep B core Total antibody Anti-HBc Reactive, NAT Non-reactive?
Hello, I took test for Hep A (Hepatitis A ABS, TOTAL). Result says REACTIVE. That means I have hep A?! So why my doctor said its normal?
Hep?: Do you mean hepatitis? Best to bring your grandma to see her family doc & gastroenterologist. Tests will be needed to determine cause of hepatitis eg medical vs infection. If latter, we need to figure out if it's B or C or otherwise. Then we can discuss treatment options. Be sure to bring all her medications from all her doctors to this visit along w/all her over-the-counter dietary supplemen ...Read more
I have a sudden onset of of left lateral hep pain that has continued to worsen over the last 4. ..no injury?
Worsening pain: Requires evaluation, especially if there is no injury. Get seen right away. ...Read more
Hepatitisb titre drawn last week, results reactive greater than 9.99. Had Hep series done over a decade ago. Should I repeat series again?
No. A titer > 9.99: Means you still have immunity. Even if your titer had become negative, only a booster vaccine might be recommended. ...Read more
Hi. I just have a problem during intercource with my partner because I finished in 2 minutes so partner stays Un please I will appreciate 4 little hep?
Eat healthy: Food choice matters little in the care of the hepatitis b patient, who is probably taking medication to keep the level of virus at bay. Should the disease progress and the liver fail, which in a compliant patient is unlikely today, restricting protein may help some. Otherwise, a healthy diet with relatively little grease and sugar (people overeat these), plus aerobic exercise, is your best idea. ...Read more
Depends: There are several treatments for hepatitis b, but choosing one depends on the length of your exposure. For immediate treatment after infection: vaccination + globulins are given. For chronic stable: adefovir, pegylate interferon or/and entecavir. For chronic: there are several combinations of drugs acting on two of the virus's receptors. Please seek treatment from your primary care physician. ...Read more
Blood contact: Hepatitis c is caused by hepatitis c virus, which is transmitted mostly through blood exposure (sharing needles and syringes). I can also be transmitted sexually, especially through fairly rough, unprotected, inadequately lubricated sex where there might be blood exposure. ...Read more
Different modes: Hepatitis A is transmitted through the fecal-oral route, namely an infected person sheds Hepatitis A virus in their stool and this is ingested through contaminated food or water. Hepatitis B is transmitted sexually and by blood, but the most common in the world is from mother to child. Hepatitis C is transmitted by exposure to blood from an infected person, very much less by sex or other means. ...Read more
You have an army now: Hepatitis A is a highly contagious virus that attacks the liver. You get it from contaminated food or water. Once you get it, the body makes antibodies (our fighting army) to fight another exposure of the virus. Just as when we immunize a patient with the vaccine, exposure to the virus initially gives us an immunity to Hep A. Most recover without problems. ...Read more