Doctor insights on:
Cpk Aldolase Esr
I had normal CPK aldolase ESR repeatedly and other blood normal along with normal emg/ncv. Normal skin biopsy. Can you still have a muscle disease?
Difficult: This question (and the related one you asked) are very difficult because I don't have enough data. The short answer is 'yes, maybe', but normal CPK and aldolase rule out a lot of possible muscle diseases. You may need a spine MRI to evaluate possible spinal cord disorders, but your physicians (especially I hope a neurologist) can best judge the nature of your problem and how to investigate it. ...Read more
Creatine kinase is an enzyme found in muscles throughout the body. There are different subtypes of the enzyme, called isoforms, which predominate in different organs. For instance, the isoform in skeletal muscles is different from that which is most heavily found in the heart muscle. A blood tests detects levels of this in the body, for example if ...Read more
What can cause muscle burning with no weakness? Normal CPK aldolase ESR and lactic acid 5 times each...No 1 can figure it out. Horrible pain all day
Is it possible to have a muscle disease with normal CPK aldolase ESR 7 times normal emg ncv and normal skin biopsy twice no weakness only burning pain?
Yes: There are many enzyme deficiency syndromes and types of muscle metabolic disorders. You may need to travel to a university medical center to get specific testing done. Was a muscle biopsy performed. Be aware that conditions such as fibromyalgia produce burning pain as well as tingling sensations in the hands and feet. ...Read more
I have muscle spasms and twitches all over my body along with burning pain but all tests are normal? Including emg/ncv CPK /aldolase/esr/ctscan/mri?
Myalgias: Did they look at autoimmune antibodies and thyroid issues? ...Read more
Muscle burning and muscle spasms? Normal pet/ct of brain. Normal CPK aldolase and esr. Normal emg ncv and skin biopsy and a lot of other blood. Any idea
Did they: Did they do a muscle biopsy? Are there any abnormal lab values? ...Read more
Muscle disease...If CPK normal 5 times aldolase normal...Emg and ncv normal. Esr normal....Can you still have a muscle disease?
Can you have a muscle disease...If CPK normal 5 times aldolase normal...Emg and ncv normal. Esr normal....Can you still have a muscle disease?
Why do you ask?: What do you think you have? Myasthenia gravis? Mitochondria myopathy? Mcardle's? Periodic paralysis? Myotonia congenita? Lumping everything together as "muscle disease" and expecting any sort of unifying set of labs / tests is naive. Start with your symptoms / signs and let a competent scientific physician rule the entities in or out until an explanation is found. ...Read more
Skeletal muscle: Ck or CPK is the best test for muscle breakdown. Alsolsae can be occasionally elevated in patients with myositis who have normal ck levels. Ldh isoenzymes, transaminases, & ck isoenzymea are other tests, but unlikely to be of value if CPK & aldolase are normal. Measuring inflammatory markers & serological studies may help narrow the possibilities. Sometimes a nerve study +/- biopsy are needed. ...Read more
Can magnesium levels be normal and still be deficient? I have muscle spasms and twitches but normal emg/ncv normal CPK aldolase as well..
Yes and no: By definition if the levels are normal they should not be deficient. But, it is possible. Also, one should check not only magnesium serum levels but magnesium rbc levels. Still, there are many instances when normal levels are still causing cramping and supplementation helps...... ...Read more
My CPK lever is 509 but Aldolase is normal. I have muscle weekness on the right side hand, arm and leg and sometimes on the left side.
Use HealthTap Prime: You are in need of a diagnosis that explains your symptoms. Muscle aldolase is usually the best indicator of muscle damage; CPK can accumulate in the absence of muscle damage in certain conditions like renal insufficiency / chronic kidney disease, but is also released by the heart, brain. Use HealthTap Prime to discuss your symptoms & medications. You can interact live & get to the bottom of this. ...Read more
I don't believe I have lupusana1:160 speck ESR 28, CPK 0. Normal complem. I don't meet 4/11 criterea-yet rheumo says lupus 2nd opinion says fibro I want to stop plaquenil (hydroxychloroquine) but still have rheumo f/u thoughts?
My muscles burn all day as if I did a workout but I didn't. ..Normal skin biopsy normal ESR CPK and aldolae and normal emg ncv. I am in so much pain?
? fibromyalgia: Keep seeing your dr. For an evaluation and continue with a work up. Hopefully, the answer will soon reveal itself, so you can get the appropriate treatment. Good luck. ...Read more
1 year old boy ESR (57H) WBC (24.3 H) ANC (10, 449 H) ALC (11, 907 H) AMC (1, 701H) TSH (14.04 H) RBC (3.29 L) HGB (7.9 L) HCT (24.2 L) CPK (588 H) K 5.3H?
Cannot comment: To get the most from this site you provide background information (problem, duration, symptoms) & ask a clear question. When you upload some lab followed by a question mark, there is little we can say, other than it is odd lab. You are welcome to start over. Questions are not linked & go out at random to the site. ...Read more
I have lupus -but my doctor never checks me urine ;but she does a cbc, cmp, esr, complements, cpk, bun, and creatinine. Should I be concerned w/ no ua?
Urine in lupus: Lupus is known to affect the kidneys, however, not in every patient. If there is a concern that your kidneys are affected, you doc should check your urine. It sounds she checks your kidney function by way of creatinine, so she monitors kidney function already. If you have any symptoms related to your kidneys - frequency, urgency, bloody/cloudy urine you need to bring them up to your doc. ...Read more
Body pain & at times middle upper belly pain for months Dr. Thinks gallbladder. Sono & HIDA neg. ALB 3.14 AST 58 ESR 44 CPK 356 Platelets 430 CRP 15.?
Diagnosis: Answers on HealthTap aren't intended for individual treatment, prescription or diagnosis. You need to allow a continued evaluation by your doctor. If this is not due to problems with the gallbladder then perhaps further imaging studies or endoscopy are needed. If you are not seeing a GI doctor you might ask for a referral. Good luck. ...Read more
Negative hla-b27 antigen. Normal cpk, esr. Crp 1.6. Ra neg. For 7 months stiff sore muscles in hips, shoulders back what could this be? Doctor not sure.
Age, side effects,,,: This could be from just age effects on your muscles, especially if you've used them a lot during your lifetime for housework or in your work. You're on two medications for muscle relaxation that could have side effects invoking your nervous system and ultimately your muscles, and they might ache afterwards. You therefore might think of seeing your doctor to get off the meds (except nsaids). ...Read more
Our daughter has elevated aldolase and lph. She has a complex chronic pain disorder. What should be looked at? Eeg is normal. Mri shows white matter.
Growing pains?: If your daughter is nearing puberty the laboratory studies just indicated hormone effects and growth effects. Mri changes need to be evaluated by a good specialist, but may be normal variant. The chronic pain disorder is becoming a major epidemic now among young people. Be careful not to over react or over treat. She needs counseling to help with pain management. ...Read more
Rheum workup, norm. C3, high c4, high aldolase. Workup done due to degenerative joint issues, and inflammatory issues (lungs). All else normal?
Discuss with MD: It is best to discuss with your doctor. There were reasons why these tests were ordered and there are diseases that involve both the lungs and muscles together. Also the degree of elevation may or may not mean anything. We can't surmise what your doctor was thinking so discuss your case with your md. ...Read more
Had blood test done by a neurologist and all items came back normal besides low aldolase. 1.9 U/L. My symptoms are leg cramps in the back calves?
Normal results: It is actually normal from my reference, aldolase is an enzyme that helps with sugar breakdown to produce energy, high in muscle cells, without any further abnormalities, no risk or anything to worry about, probably next time it will be normal, usually not associated with muscle aches, potassium, calcium, sodium could be ...Read more
Muscle pain and burning but no weakness? Normal emg and ncv twice this year. Normal petct brain. Normal bloods cpi aldolase. What could this be?
Probably not serious: Small fiber neuropathies can cause burning pain with a normal ncs/emg but the odds of this are pretty rare for a 25yo. When does this occur? With exercise? Maybe you are deconditioned. Anxiety can also play a part. If you are on klonopin, (clonazepam) does it help the symptoms? If you have no weakness and labs are also normal I would be more reassured. ...Read more
+homo centro pat 1:160 TSH 8.23 mpv, alym% l aneu% h recent +rnp 1.9 aldolase h- chest pain sob hoarsness headache spots/bl vision arm/leg pain?
Please forgive me: This is a welter of information that no one here can do anything with. The ANA pattern and ribonucleoprotein do not necessarily indicate disease. How high the labs are is as important as what they are. Mpv almos tnever means anything. Chest pain and shortness of breath are best assessed on the physical exam and history. Your best move is a workup by a physician you trust ; can communicate with. ...Read more
Increased aldolase, complement c3/c4 serum, sed rate, c-react. Protein, beta globulin, monocytes, bun/creatin low mcv-mch, vit d-possible causes?
Complicated: When I was doing clinical medicine, these were collectively sort of the flags for sarcoid disease but I am not saying that's the case here. This is because sarcoid is a diagnosis of exclusion so the advice is to rule out other diseases with additional diagnostic tests which can be done by a primary care physician or rheumatologist. ...Read more
Having extreme weakness and ptosis +ana +adolase bun 23 alkaline phosphate 54 wbc 23.56 myelos 2 segs 92% lymphs 5% aldolase 29 trace of leukocytes in urine any idea what could be wrong?
Needs visit: Need to see a dr. To review all issues and try to establish a diagnosis and next step. Could be very serious please make an appt with a physician very soon. ...Read more