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What to Expect from Your Medical Test: Purpose, Procedure, and Preparation

Published: August 9, 2026Updated: August 16, 2026

A blood test that detects antinuclear antibodies, which may indicate autoimmune diseases.

Quick summary

{"Measures antibodies that mistakenly attack cell nuclei","Helps diagnose conditions like lupus, rheumatoid arthritis, and scleroderma","Performed using a blood sample via immunoassay","Positive results require further testing to confirm diagnosis","Results are reported as a titer (dilution ratio)"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
40655-3
Short code
ANA Titr Ser IA
Synonyms
ANA Titr Ser IA
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ia
CPT
86038
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

This test is a laboratory evaluation that helps your doctor measure specific substances in your body to assess how well your organs are functioning, detect possible health conditions, and guide important decisions about your care.

The Nuclear Antibody (ANA) test is a blood test that detects antinuclear antibodies in your blood. These are antibodies (proteins) produced by your immune system that mistakenly target and attack the nucleus of your own cells. This test is primarily used as a screening tool to help identify autoimmune disorders.

Your doctor may order this test to help diagnose a medical condition, monitor an ongoing illness, check how well a current treatment is working, or screen for risk factors before they cause noticeable symptoms, which supports earlier and more effective treatment.

Your healthcare provider may order this test if you have symptoms of an autoimmune disease, such as joint pain, fatigue, fever, skin rashes, or muscle weakness. Common conditions associated with positive ANA results include systemic lupus erythematosus (SLE), rheumatoid arthritis, scleroderma, polymyositis, and dermatomyositis. The test helps your doctor determine whether your symptoms might be caused by an autoimmune condition.

A trained healthcare professional will collect a small sample, usually blood drawn from a vein in your arm or a urine specimen, and send it to a laboratory where specialized equipment and trained staff analyze it, with results typically reported to your doctor within a few days.

A healthcare professional will draw a blood sample from a vein in your arm. This sample is then sent to a laboratory where it is analyzed using immunoassay techniques. The test measures the level (titer) of antinuclear antibodies in your blood serum. Results are typically reported as a ratio, such as 1:40, 1:160, or 1:320, with higher titers indicating a stronger positive result.

Follow the specific instructions your doctor gives you before the test, since you may need to fast for 8 to 12 hours, avoid certain medications or supplements, or drink plenty of water, so confirm any questions about preparation with your care team ahead of time.

No special preparation is typically required for the ANA test. You can eat and drink normally before the test. However, it is important to inform your healthcare provider about any medications, supplements, or herbal remedies you are taking, as certain drugs can affect test results. Some infections or medical conditions may also influence the results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A positive ANA test indicates the presence of antinuclear antibodies in the blood. However, a positive result does not automatically mean you have an autoimmune disease. Many people, especially older adults, may have low levels of ANA without any illness. The pattern and titer of ANA, along with your symptoms and other test results, help your doctor determine the significance of the result. Further testing, such as specific antibody panels (anti-dsDNA, anti-Sm, anti-Scl-70, etc.), is usually needed to confirm a diagnosis. ANA testing is a valuable screening tool that helps guide the diagnostic process for various autoimmune connective tissue diseases.

Frequently asked questions

What does a positive ANA result mean?
A positive ANA result means that antinuclear antibodies were detected in your blood. However, this alone does not confirm a specific disease. Your doctor will interpret the result along with your symptoms, physical exam, and other laboratory tests. Some people may have a positive ANA without any underlying disease, while others with autoimmune conditions may have negative or low-titer results.
Is fasting required before the test?
No, fasting is not typically required for the ANA test. You can eat and drink normally before having your blood drawn. However, follow any specific instructions provided by your healthcare provider.
Can medications affect my ANA test results?
Yes, certain medications can cause a positive ANA result. These include some antibiotics, blood pressure medications, and drugs used to treat seizures. Always inform your doctor about all medications and supplements you are taking before the test.
How long does it take to get results?
Results are typically available within a few days to a week, depending on the laboratory. Your healthcare provider will contact you with the results and discuss what they mean for your health.
Do I need to repeat the test?
Your doctor may order repeat testing to monitor changes in antibody levels over time, especially if you are being treated for an autoimmune condition. However, ANA titers do not always correlate with disease activity, so repeat testing is not always necessary.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy