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Doctor insights on: Hep A Total

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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

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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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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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

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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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What to do about hep for my grandmother?

What to do about hep for my grandmother?

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

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Hepatitisb titre drawn last week, results reactive greater than 9.99. Had Hep series done over a decade ago. Should I repeat series again?

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

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How is hep b transmitted?

How is hep b transmitted?

Just like HIV: In very much the same way as hiv: through unprotected sex, especially intercourse, and through blood exposure (e.g. Shared needles and syringes). ...Read more

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What are the food for hep b pt.

What are the food for hep b pt.

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

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Wat is the medication for hep b?

Wat is the medication for hep b?

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

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Why is my hep b surface ab so high?

You are immune!: To HBV anyway! The presence of a surface antibody to hepatitis b implies immunity. ...Read more

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In what ways are hep. B and c transmitted?

In what ways are hep. B and c transmitted?

Blood: Hepatitis b and c are both blood borne illnesses. They are transmitted from mother to child during birth. Sharing needles is the riskiest behavior for acquiring these infections. ...Read more

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What causes hep c?

What causes hep c?

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

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Is hep c sexuaily transmited?

Is hep c sexuaily transmited?

Blood borne disease: Hepatitis c virus (hcv) infection is not considered a sexually transmitted disease. Rather, it is considered more of a blood borne infection that is highly transmittable- more so than hiv. ...Read more

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What is the remedy of hep b sickness?

What is the remedy of hep b sickness?

Acute or chronic: Acute hepatitis b is not treated. You just wait for it to resolve on its own. If it does not resolve on its own and becomes chronic, there are medications that can keep it suppressed and prevent complications such as cirrhosis and liver cancer. ...Read more

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How do you get hep a?

How do you get hep a?

Fecal/oral: Oral intake of contaminated food or water, often bad shellfish, or bad hygiene. ...Read more

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How do you contract hep a b c?

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

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What is immunity to hep b mean?

You're done: It means you can no longer be infected, either because you had hepatitis b and recovered from it, or because you were vaccinated and the vaccine was effective. ...Read more

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How long is recovery for hep a?

How long is recovery for hep a?

Two weeks: Hep. A can make you very sick, but 99/ recover completely and become permanently immune to it. Recovery may take up to 2 to 3 weeks. ...Read more

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What does immunity to hep b mean?

What does immunity to hep b mean?

Positive antibody: It means you can't be infected because you have protective antibodies, either from past infection or vaccination. ...Read more

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What food should u eat with hep b?

What food should u eat with hep b?

Not the key: Comply with treatment and eat sensibly. Food choices are not the key to managing this or most other disease. Ignore silly stuff on the Internet and trust evidence-based medicine. Hepatitis B is serious business. Best wishes. ...Read more

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Why does the hep b shot hurt so much?

Why does the hep b shot hurt so much?

Hard to say.: All vaccines are designed to stimulate the immune system so there is always some local pain due to the influx of immune type cells. Sometimes a vaccine can be injected close to a nerve or structure that is sensitive making the pain a bit more difficult. ...Read more

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If you had hep a can you catch it again?

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

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How would one develop severe hep from mono?

How would one develop severe hep from mono?

Mononucleosis: Is a viral illness that can affect various organs, including liver. Sometimes it can lead to spontaneous spleen ruptures too. When the virus attacks the liver, it is much like other viral hepatitis. ...Read more