Doctor insights on:
Elevated D Dimers
D-diner is a breakdown product from blood clots. It can be found elevated in certain conditions like pulmonary embolus (blood clot which travels to the lung) deep venous thrombosis (blood clot in deep vein of legs usually) and disseminated intravascular coagulation (diffuse clot formation from severe infection which ...Read more
D-dimer: D-dimer is a blood test used to help detect clots in your body or those that have embolized to your lungs. Physicians use d-dimer if they think that you have a low probability of having a clot but want to rule it out. Your test was high so the physician did the appropriate testing to determine if there was a clot. This means that your lab was falsely positive and can be elevated for other reasons ...Read more
Not really: D dimer is a marker of clotting. Blood clots in the legs and lungs are associated with elevation. It will also go up with injuries and surgery. Blood pressure may go up as a complication of a blood clot in the lungs or because of the injury or surgery, but elevated BP should not cause increase in d dimer, or vice versa. ...Read more
Showing elevated d dimer.1-.57, 2, one month later 0.98. No pe present after ct. Wide RDW and elevated neutrophils, w/ norm wbc. Any clue?
Perhaps: The d-dimer is a fibrin degradation product (or fdp) which represents a small protein fragment in blood after a blood clot is broken down. The value can be used to test for clotting or thrombosis problems. However, a single value or a value in isolation should not be used. Elevations may suggest a clotting problem. ...Read more
Total ck, sed rate, ana, ip ace, serum protein panel normal but gamma globulin (.6) cortisol am (30.8)
Hx of low vit d and K.
What could this mean?
Not much-: An important thing to remember is that lab results are not useful unless there is a clinical context. Advice is based on focusing on the patient, not the numbers. Though you mention a history of low vit D and K, did symptoms exist when the labs were drawn? Why were they drawn in the first place? Otherwise, it is best to ask your ordering doctor what the results mean. ...Read more
Replace vitamin d: Vitamin d deficiency is very common. You need vitamin d to absorb calcium from the intestines. When you don't have enough vitamin d, in order to keep your blood calcium levels normal, your make more PTH to pull calcium from the bones and that raises the alkaline phosphatase. Replacing vitamin d should normalize all the tests. ...Read more
3 separate things: ANA is a screening test. A positive result only indicates more testing might be needed to look for autoimmune diseases. Crp means something somewhere in the body is inflamed for some reason (and yes it really is that vague). Low vitamin d means you needs more vitamin d in the diet or in the form of vitamin pills. ...Read more
1 pos d dimer at 3600, chest pain,spitting blood,pleuritic pain but neg VQ scan,2 neg ultrasounds and 3 more neg d dimers. Blood clot?
Very common: It is very common to see low vitamin d levels in people these days. We make vitamin d by exposure to the sun and many people do not get enough sun exposure or should not because of skin cancer risk. People with low vitamin d can be at risk for chronic pain and may even be at risk for certain cancers. Talk to your doctor about taking a d supplement. ...Read more
Lab results show high Bili total (1.2mg/dL) and high albumin (5.2 g/dL) and low vit D (18.8m=ng/dL). My Dr was only concerned about the Vit D level?
Maybe nothing?: I agree with your doctor that the vitamin D needs to be addressed. I would typically recommend an OTC vitamin D3 supplement...probably 2000 a 5000 IU daily with a meal. The bilirubin may mean some slight liver stress...Even moderate alcohol intake, for example. The albumin? Probably won't stay elevated. Recheck labs in 3-6 months IMO. And try milk thistle for liver health perhaps? Good luck! ...Read more
D dimer 1600. Incr sed/crp. Elevated myoglobin (119) norm tropinin. Ck norm 72 hr after chest pain.Echo done.. Does the echo r/o heart attack?
Suggest: Echocardiogram can suggest myocardial damage if the heart attack is severe. Ecg, cardiac enzymes(such as tropinins) and symptoms are the points that rules in or out a heart attack. Elevated d-dimer suggests blood clots though very non specific including pulmonary embolism. ...Read moreSee 1 more doctor answer
Seek cause: Vitamin d deficiency is very common today & may explain the high alk phos in an adult; it's usually due to misguided "healthy" lifestyles avoiding sunlight and vitamin-d enriched dairy products. Anemia is more worrisome and always requires a real medical workup; nutritional iron deficiency is rampant in our world but other causes must be sought as well. Good luck & stay proactive. ...Read more
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