Transfusion Reaction Blood Test

What is Transfusion Reaction?

Transfusion reaction is an adverse immune response that occurs when the body rejects blood received during a transfusion. It is caused by incompatibilities between donor and recipient blood, primarily ABO blood group mismatches or Rh factor incompatibilities that trigger the immune system to attack foreign red blood cells. The ABO Grouping and Rho(D) Typing test is the most important test for preventing transfusion reactions by ensuring blood compatibility before transfusion.

RECOMMENDED TEST Know Your Blood Type
What's included
Fast & easy, results by email & SMS
No extra fees paid at the lab
No need to visit a doctor
Private & confidential
No insurance needed
Results explained
Why Private MD Labs?
90-day money-back guarantee Lab order in minutes Save a trip to the doctor Low prices since 2005 Labs within 2 miles

What causes transfusion reactions?

Transfusion reactions are caused by incompatibilities between donor and recipient blood that trigger the immune system to attack foreign blood cells. The most common cause is ABO blood group incompatibility, where receiving the wrong blood type (A, B, AB, or O) causes immediate and potentially life-threatening reactions. Rh factor mismatches, particularly when an Rh-negative person receives Rh-positive blood, can also cause severe reactions. Additionally, irregular antibodies developed from previous transfusions, pregnancies, or transplants can react against specific antigens on donor red blood cells, leading to delayed transfusion reactions that occur hours or days after the transfusion.

What is the best test for transfusion reactions?

The ABO Grouping and Rho(D) Typing test is the most important test for preventing transfusion reactions because it determines your exact blood type (A, B, AB, or O) and Rh factor (positive or negative), which are the primary causes of severe transfusion reactions. This test ensures that you receive compatible blood that your immune system will not reject. The Antibody Screen, RBC with Reflex to Identification, Titer, and Antigen Typing is the best complementary test because it detects irregular antibodies in your blood that could react against donor blood, even when ABO and Rh types match. Together, these tests create a complete compatibility profile that prevents both immediate and delayed transfusion reactions, making blood transfusions safe by identifying potential incompatibilities before they can cause harm.

When should I get tested for transfusion reactions?

You should get tested before any planned surgery or medical procedure where blood transfusion might be needed, so healthcare providers know your blood type in advance. Testing is essential if you have a history of multiple transfusions, pregnancies, or organ transplants, as these increase your risk of developing antibodies that could cause reactions. You should also get tested if you experienced symptoms like fever, chills, back pain, dark urine, or difficulty breathing during or after a previous transfusion, as these indicate possible transfusion reaction history. Additionally, if you are pregnant and Rh-negative, testing helps prevent reactions that could affect your baby during pregnancy or future transfusions.

What are the symptoms of transfusion reactions?
Transfusion reaction symptoms vary from mild to life-threatening depending on the type and severity of the reaction. Immediate symptoms that occur during or within hours of transfusion include fever, chills, flushing, rapid heart rate, low blood pressure, back or chest pain, nausea, and difficulty breathing. Severe acute reactions can cause dark or bloody urine indicating kidney damage, jaundice (yellowing of skin and eyes), and bleeding problems. Delayed transfusion reactions that develop days or weeks later cause fever, jaundice, unexplained anemia, and fatigue as antibodies slowly destroy transfused blood cells. Any unusual symptoms during or after a transfusion require immediate medical attention to prevent serious complications.
Who is at risk for transfusion reactions?
People who have received multiple blood transfusions are at higher risk because each exposure increases the chance of developing antibodies against blood cell antigens. Women who have been pregnant, especially multiple pregnancies, have increased risk due to exposure to fetal blood cells that can trigger antibody formation. Patients with sickle cell disease, thalassemia, or other chronic anemias requiring frequent transfusions face elevated risk of developing irregular antibodies over time. Organ transplant recipients and people with autoimmune conditions have higher risk due to immune system changes that make reactions more likely. Additionally, emergency transfusion situations where complete compatibility testing cannot be performed before blood administration significantly increase reaction risk.
What happens if transfusion reactions are left untreated?
Untreated acute transfusion reactions can rapidly progress to life-threatening complications including acute kidney failure, which occurs when incompatible blood cells break apart and block kidney filtration systems. Severe reactions can cause disseminated intravascular coagulation (DIC), a dangerous condition where blood clots form throughout the body while simultaneously causing uncontrolled bleeding. Hemolytic reactions that destroy large amounts of red blood cells can lead to shock, respiratory failure, and death within hours if not immediately addressed. Even delayed transfusion reactions, when left unrecognized, can cause severe anemia, organ damage from prolonged low oxygen levels, and increased mortality risk. Proper pre-transfusion testing and immediate treatment of reactions are critical for preventing these potentially fatal complications.
Can transfusion reactions be diagnosed with blood tests?
Yes, blood tests are essential for both preventing and diagnosing transfusion reactions through comprehensive compatibility testing and post-reaction investigation. Before transfusion, ABO blood typing and Rh factor testing identify your blood group to ensure compatible donor blood selection. Antibody screening detects irregular antibodies that could react with donor blood even when basic blood types match. After a suspected reaction, blood tests including direct antiglobulin test (DAT), comparison of pre- and post-transfusion blood samples, bilirubin levels, and kidney function tests confirm whether a reaction occurred and identify its cause. These tests detect evidence of red blood cell destruction, kidney damage, and specific antibodies responsible for the reaction, guiding treatment and preventing future reactions.
How are transfusion reactions treated?
Immediate treatment begins with stopping the transfusion as soon as a reaction is suspected and maintaining intravenous access to administer medications and fluids. Healthcare providers give intravenous fluids to support blood pressure and kidney function, preventing kidney damage from hemoglobin released by destroyed red blood cells. Medications including antihistamines, corticosteroids, and epinephrine treat allergic and inflammatory symptoms, while fever reducers manage temperature elevation. Severe cases may require intensive care with respiratory support, dialysis for kidney failure, and blood component therapy to manage bleeding complications. Future transfusions require specially selected blood matched for the specific antibodies identified, and in some cases, washed or leukocyte-reduced blood products minimize reaction risk.
How can I prevent transfusion reactions?
Prevention starts with proper pre-transfusion blood testing that identifies your ABO blood type, Rh factor, and any irregular antibodies you may have developed from previous transfusions or pregnancies. Always inform healthcare providers about your complete transfusion history, previous reactions, pregnancies, and any blood disorders that increase your risk. Maintain a personal medical record card with your blood type and any known antibodies for emergency situations. When possible, opt for autologous blood donation (donating your own blood before scheduled surgery) to eliminate compatibility issues entirely. Healthcare facilities prevent reactions through rigorous blood bank protocols including double-checking patient identification, careful donor-recipient matching, starting transfusions slowly while monitoring vital signs, and using leukocyte-reduced blood products that minimize immune responses.
What can I do at home after a transfusion?
After receiving a blood transfusion, monitor yourself closely for delayed reaction symptoms including fever, yellowing of skin or eyes, dark urine, unusual fatigue, or unexplained bruising, and report any concerns to your healthcare provider immediately. Rest adequately in the days following transfusion to allow your body to adjust to the new blood cells and recover from the underlying condition that required transfusion. Stay well-hydrated by drinking plenty of water to support kidney function and help your body process any byproducts from the transfused blood. Avoid strenuous physical activity for 24-48 hours after transfusion to prevent complications. Keep all follow-up appointments where healthcare providers can check blood counts, kidney function, and signs of delayed reactions. Maintain detailed records of all transfusions including dates, blood products received, and any reactions experienced for future medical reference.
How’s this work?
Getting your blood test with us is easy, private & backed by the power of science.

Long story short:
  1. In the test options, use the filters or search box to narrow your choices and find the test you want.
  2. If you need a hand navigating through options, text our super friendly support team at 754-799-7833, and we'll provide tailored suggestions to help you find the ideal test.
  3. Once your order is placed, we’ll create your doctor’s lab order remotely, without any need for you to make a trip to a doctor in person or to talk to the doctor. Expect to receive your doctor’s lab order right in your inbox. It will also be in your patient portal if you need to find it later. We’ll also include instructions regarding fasting and other requirements for your test. Your patient portal will be auto-created hassle-free during checkout.
  4. If this is your first time ordering, you'll be prompted to create a password for instant login access to your patient portal. It's a quick way to conveniently access your orders and results whenever you want.
  5. When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system.
  6. Note that most lab locations don’t accept walk-ins, so it’s best to book an appointment in advance. Don’t worry – we’ll provide detailed instructions along the way.
  7. You’ll get your results via email & SMS and dive into understanding your body better. Yup, that easy!
  8. If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com and we'll gladly help you.
How do I know which test to get?
In the test options, find the test you want. If you’re not sure which test to get, we can lend a hand in finding the right option.

Just text or call us at 754-799-7833, email us at support@privatemdlabs.com, and we'll gladly help you. We've got your back and reply quickly.
Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?
Absolutely! We totally understand that errors can happen. No worries, we're here to help you.

Just reach out to us via text at 754-799-7833 or shoot us an email at support@privatemdlabs.com. Remember to include your order number and let us know the correct information you’d like to update. Our awesome team will jump right in and make sure everything is sorted out and accurate for you.

There are no changes necessary if your address is wrong on the requisition though. We don’t mail anything out.

Our lab requires an address to be listed to generate an order.
Do you accept health insurance?
Only HSA & FSA is accepted.

Our services are strictly self-pay and cannot be submitted to your health insurance provider except for Health Savings Accounts or Flexible Savings Accounts.

This policy applies to all insurance companies, including federal health insurance programs like Medicare.

If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com.
Can I cancel my order?
Yes.

We get it – sometimes your needs change.

As long as your samples haven’t been collected yet, we’re happy to help you cancel your order.

If you have any further questions, please text us at 754-799-7833 or email support@privatemdlabs.com.

You can read more about our cancellation policy here.
How can I find a lab location near me?
During the ordering process, you’ll be able to select a specific lab near you, with no strings attached! You can switch it up later easily and visit any of our authorized locations as long as it’s the same lab company you selected your test for (Quest Diagnostics or Labcorp).

Before you proceed with your order, feel free to browse through all our lab locations here. This will give you the peace of mind of knowing that there's a lab nearby your home, office or your favorite gym.

If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com and we'll gladly help you.
Here’s how easy it is to get blood work done on your terms
Choose a checkup
Order your test Save a trip to the doctor. Your results will come with clear, friendly explanations. Takes 2 minutes
Book a lab
Book an appointment Visit any of our 4,000 nearby lab locations to have your samples collected. Book or walk-in
Choose a checkup
Get results Receive a clear, easy-to-digest health report by email & SMS within a few business days. Get answers, fast

Here’s why 1,000,000+ customers chose us for affordable hassle-free private blood testing.

You get clinical lab reports & simplified health insights.
Save time & gas, go straight to the lab. Our doctors cover the rest.
Results start landing the next day after your lab visit.*
We don’t sell or share your data. Your time & privacy matter.
US-licensed doctors have your back if things get unclear.
No hidden fees, nice discounts for regular checkups.
Save a trip to the doctor, go directly to the lab
Instant orders, results often overnight*
Results explained in simple language
Reviewed by US licensed doctors
Fast & confidential, we never sell or share your data
No insurance needed, transparent pricing
Demo results
Testosterone 375 ng/dL
Demo results
Normal Optimal 400 - 1000 High
375 ng/dL

What this means

Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.

Us vs. Them

Not overhyped or overpriced. Just comprehensive blood testing made simple and for everyone.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.

1,000,000+ blood tests later, here's what our customers say

Google reviews 505 reviews Next
Know Your Blood Type
What's included
Fast & easy, results by email & SMS
No need to visit a doctor
Private & confidential
No insurance needed
Results explained
No extra fees paid at the lab

Sample results

Sample image
For you & your coach Health insights Written in human language, backed by science.
Sample image
For you & your doc Classic lab report A familiar and comprehensive lab report.

Ask AI

Your 24/7 Lab Guide

Quick questions:

Which test is right for my symptoms?
What could be causing this?
When should I get tested?
A
Hi, I'm AI. I can help you find the right test, explain results, or prepare for your visit. What can I help with?
Just now
A
AI provides insights, not medical diagnoses.