Hepatitis Test Guide

 

Hepatitis viruses cause liver inflammation, which can progress to cirrhosis, cancer and even death.
 
Three strains of the hepatitis virus include:
  • Hepatitis A virus, or HAV, which is spread through contaminated food and water.
  • Hepatitis B virus, or HBV, which is spread through exposure to infected body fluid.
  • Hepatitis C virus, or HCV, which is spread through blood-to-blood contact.
Vaccinations are available for both Hepatitis A and B, though no vaccine against Hepatitis C has been developed as of yet.
 
A hepatitis virus panel can test for hepatitis A, hepatitis B and hepatitis C. The test is a routine blood test in which blood is examined for antibodies to each of the three hepatitis viruses.
 
Hepatitis A
Symptoms of hepatitis A can take anywhere from two to six weeks to appear and often mimic the flu. A blood test can indicate the presence of HAV. IgM anti-HAV antibodies indicate a current infection and can be detected in as few as two weeks after infection, but only stay in the blood for three months to a year. IgG anti-HAV antibodies indicate a past viral infection. These antibodies offer immunity to future HAV infections and can be detected eight to 12 weeks after infection. They remain in the body forever.
 
Hepatitis B
One of the most prevalent symptoms of hepatitis B is jaundice, which appears after symptoms such as nausea, vomiting and body aches. Hepatitis B blood tests look for the presence of antigens, including the hepatitis B surface antigen (HBsAG), which indicates a current acute or chronic hepatitis B infection. The antibody to hepatitis B core antigen (anti-HBc) indicates a previous hepatitis B infection, while the presence of the antibody to HBsAG (anti-HBs) indicates immunity to hepatitis B.
 
Hepatitis C
Symptoms of hepatitis C infection take time to manifest, and many people have the virus without knowing. Early symptoms include abdominal pain, decreased appetite and fatigue. As many as 60% of those infected with hepatitis C resolve the infection spontaneously and do not need treatment. Those who have the infection longer than six months are considered to have chronic hepatitis C.
 
Hepatitis C can be detected through a blood test as early as 10-15 weeks after exposure. It can take as long as six months to show on a test, however. The blood test for hepatitis C looks for anti-HCV antibodies.
 
A blood sample for a hepatitis test is typically drawn in a doctor’s office by either a doctor or a nurse. The blood sample will be sent to a lab for analysis, and the results are returned to the doctor for interpretation.