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What Does My Blood Test Report Indicate?
Question: Hi Doc ,
My wife is pregnant for 6 weeks and when done complete blood test the report shows
HIV - Negative
Hbsag - weakly reactive
What does it mean if it's weakly reactive?? Can this be made non reactive?
Will it affect my kid? If vaccine is taken now is it curable??
The lab guy asked me to do another test elcia test I guess m not sure..
My wife is pregnant for 6 weeks and when done complete blood test the report shows
HIV - Negative
Hbsag - weakly reactive
What does it mean if it's weakly reactive?? Can this be made non reactive?
Will it affect my kid? If vaccine is taken now is it curable??
The lab guy asked me to do another test elcia test I guess m not sure..
Brief Answer:
Please upload the exact report.
Detailed Answer:
Hello
THanks for writing to us with your health concern.
I cannot really comment on this without looking at the report.
Please upload the lab report that you have received ( the one which mentions weakly reactive ).
I think what you mean is ELisa test.
I will guide you further once you upload the report.
Please do not type it , but take a photograph and upload the exact report.
Looking forward to hearing from you.
Take care.
Please upload the exact report.
Detailed Answer:
Hello
THanks for writing to us with your health concern.
I cannot really comment on this without looking at the report.
Please upload the lab report that you have received ( the one which mentions weakly reactive ).
I think what you mean is ELisa test.
I will guide you further once you upload the report.
Please do not type it , but take a photograph and upload the exact report.
Looking forward to hearing from you.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Uploaded the reports kindly review
Brief Answer:
Second page of report, containing the HbsAg report, is not uploaded.
Detailed Answer:
Dear Mr. XXXXXXX
I have gone through the report.
It seems you have only uploaded the first page of the report.
The second page containing the HbSag report is not uploaded.
Please do so.
Second page of report, containing the HbsAg report, is not uploaded.
Detailed Answer:
Dear Mr. XXXXXXX
I have gone through the report.
It seems you have only uploaded the first page of the report.
The second page containing the HbSag report is not uploaded.
Please do so.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Please check now I've uploaded ..
Please let me knw if it's curable and if the baby will be healthy.
M really worried.i don't knw what caused this but..
Please let me knw if it's curable and if the baby will be healthy.
M really worried.i don't knw what caused this but..
Brief Answer:
Current test is equivocal, please go for ELISA testing.
Detailed Answer:
Hello again.
Thank you for uploading the relevant report.
I have reviewed your report in detail.
The current report has tested for Hepatitis B in your wife using the Rapid SPOT test.
This utilizes a technique called Immuno Chromatography.
It is not as reliable as the ELISA test.
The ELISA test is much more reliable and conclusive for testing against Hepatitis B.
Based on the current report, do not get worried and do not panic.
It is better to get the ELISA test done and then revert to me.
I do not want to alarm you or scare you regarding Hepatitis B in pregnancy based on an inconclusive and unreliable test.
Please proceed with the ELISA test and revert to me once you get that report in hand.
Please do not worry right now as this test often gives an erroneous result.
Take care.
Current test is equivocal, please go for ELISA testing.
Detailed Answer:
Hello again.
Thank you for uploading the relevant report.
I have reviewed your report in detail.
The current report has tested for Hepatitis B in your wife using the Rapid SPOT test.
This utilizes a technique called Immuno Chromatography.
It is not as reliable as the ELISA test.
The ELISA test is much more reliable and conclusive for testing against Hepatitis B.
Based on the current report, do not get worried and do not panic.
It is better to get the ELISA test done and then revert to me.
I do not want to alarm you or scare you regarding Hepatitis B in pregnancy based on an inconclusive and unreliable test.
Please proceed with the ELISA test and revert to me once you get that report in hand.
Please do not worry right now as this test often gives an erroneous result.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
No need to repeat HIV test since it is conclusively negative.
Detailed Answer:
When the test is negative , it is reliably negative.
WHen it is weakly positive, that is , when it is more likely to be false.
SO there is no need to repeat the HIV test, since it is conclusively negative.
Take care.
You can write in anytime and contact me directly on the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
No need to repeat HIV test since it is conclusively negative.
Detailed Answer:
When the test is negative , it is reliably negative.
WHen it is weakly positive, that is , when it is more likely to be false.
SO there is no need to repeat the HIV test, since it is conclusively negative.
Take care.
You can write in anytime and contact me directly on the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi XXXXXXX hope this is a follow up Session on my Wife's Report.
we have done the ELISA test for HBsAg (reports Uploaded) and the results Came as Negative
However the Doc here Suggested to do even HBe Ag and HBc Ag test to check if the infections could ne transmitted to the baby
I have Uploaded the report/pic of HBe Ag and HBc Ag where HBe Ag shows Negative and HBc Ag shows positive (this is by seeing the reference Range)
Could you please Check the reports and reply back?
Also LFT was done and ive uploaded that too.
M really worried Since HBc Ag is not within the Refrence range and looks like its positive
we have done the ELISA test for HBsAg (reports Uploaded) and the results Came as Negative
However the Doc here Suggested to do even HBe Ag and HBc Ag test to check if the infections could ne transmitted to the baby
I have Uploaded the report/pic of HBe Ag and HBc Ag where HBe Ag shows Negative and HBc Ag shows positive (this is by seeing the reference Range)
Could you please Check the reports and reply back?
Also LFT was done and ive uploaded that too.
M really worried Since HBc Ag is not within the Refrence range and looks like its positive
Brief Answer:
Only 1 report uploaded 5 times, that is normal. Please upload the rest.
Detailed Answer:
Hello again
There are 5 attachments uploaded in the follow up query.
All 5 contain the report of ELISA for HBsAg, which is conclusively negative, so there is no reason to worry about it.
Regarding the Hepatitis E and Hepatitis C reports, they are not yet uploaded.
Please do the needful and I will revert accordingly.
Take care.
Only 1 report uploaded 5 times, that is normal. Please upload the rest.
Detailed Answer:
Hello again
There are 5 attachments uploaded in the follow up query.
All 5 contain the report of ELISA for HBsAg, which is conclusively negative, so there is no reason to worry about it.
Regarding the Hepatitis E and Hepatitis C reports, they are not yet uploaded.
Please do the needful and I will revert accordingly.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Uploading reports is really confusing .okay I've uploaded the report please check
Also I'll upload the LFT
Also I'll upload the LFT
Brief Answer:
LFT report ?
Detailed Answer:
Am awaiting the LFT report .
LFT report ?
Detailed Answer:
Am awaiting the LFT report .
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi I've uploaded LFT report please review !!!
01) jus to add few things, the Doc asked me to test my HBsAg and it came back negative
02) My wife is working as a staff nurse .
And once she joined the hospital as staff nurse they aske her/everyone to take Hepatisis B vaccine which she did not take
03) sine HBcAg (Hepatisis B core antigen)
Showing as positive , is it something to worry ? Can it be cured? Can it be prevented from getting transmitted to the baby??
Please respond
01) jus to add few things, the Doc asked me to test my HBsAg and it came back negative
02) My wife is working as a staff nurse .
And once she joined the hospital as staff nurse they aske her/everyone to take Hepatisis B vaccine which she did not take
03) sine HBcAg (Hepatisis B core antigen)
Showing as positive , is it something to worry ? Can it be cured? Can it be prevented from getting transmitted to the baby??
Please respond
Brief Answer:
Not infective, but further testing needed.
Detailed Answer:
Hello again.
I have gone through all the reports.
Now here is the explanation.
Hepatitis B has 3 antigens - surface, core and E antigen.
Only core antigen is positive in her case.
The possibilities with this picture are -
1. Resolved infection ( immune to Hepatitis B )
2. Very early infection or chronic infection.
3. False positive Hb core antigen antibody.
NOw to differentiate, further tests are needed -
1. Repeat of Hb core antigen antibody at another lab.
2. HBV DNA estimation
If HBV DNA is negative, and the core antibody is still present, then she is immune.
However, further vaccination should be given to her irrespective of the tests, since she is a staff nurse and not vaccinated ( she should have taken the vaccine before joining the hospital ).
As such, she is not infective to the baby, as the surface antigen is negative, but still, the vaccine prevents infection in 90- 100 % of cases.
There is nothing to worry.
You must have protected sex till further testing is done, and a clear consensus is reached.
You can revert to me with the tests suggested.
Also, please consult a leading Gastro enterologist in your city, and get his / her opinion on this also, as this is beyond the domain of most obstetricians.
All the best
Please feel free to discuss further.
Not infective, but further testing needed.
Detailed Answer:
Hello again.
I have gone through all the reports.
Now here is the explanation.
Hepatitis B has 3 antigens - surface, core and E antigen.
Only core antigen is positive in her case.
The possibilities with this picture are -
1. Resolved infection ( immune to Hepatitis B )
2. Very early infection or chronic infection.
3. False positive Hb core antigen antibody.
NOw to differentiate, further tests are needed -
1. Repeat of Hb core antigen antibody at another lab.
2. HBV DNA estimation
If HBV DNA is negative, and the core antibody is still present, then she is immune.
However, further vaccination should be given to her irrespective of the tests, since she is a staff nurse and not vaccinated ( she should have taken the vaccine before joining the hospital ).
As such, she is not infective to the baby, as the surface antigen is negative, but still, the vaccine prevents infection in 90- 100 % of cases.
There is nothing to worry.
You must have protected sex till further testing is done, and a clear consensus is reached.
You can revert to me with the tests suggested.
Also, please consult a leading Gastro enterologist in your city, and get his / her opinion on this also, as this is beyond the domain of most obstetricians.
All the best
Please feel free to discuss further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for your reply.. How about the LFT?? are they normal?? Does vaccinating the baby within 12 hrs of delivery help the baby not to get this infection invade if my wife is infectious ??
And for HBsAg is ELISA method is reliable 100%??
Thanks for your replies
And for HBsAg is ELISA method is reliable 100%??
Thanks for your replies
Brief Answer:
Explained.
Detailed Answer:
Hello again.
Thank you for the appreciation.
Yes, the LFT is quite normal.
Vaccinating the baby would further protect the child, but if the workup shows that your wife is not infectious, and she gets vaccinated, there is no need to vaccinate the child immediately after birth.
Yes, HBsAg ELISA is 100 % reliable.
Take care.
Explained.
Detailed Answer:
Hello again.
Thank you for the appreciation.
Yes, the LFT is quite normal.
Vaccinating the baby would further protect the child, but if the workup shows that your wife is not infectious, and she gets vaccinated, there is no need to vaccinate the child immediately after birth.
Yes, HBsAg ELISA is 100 % reliable.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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