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Doctor insights on: Mi 2 Autoantibodies

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Pat.With dm and ht present with ischemic cva(> 1/3 MCA distribution) ECG show af. When we start anticoagulant?

Pat.With dm and ht present with ischemic cva(> 1/3 MCA distribution)  ECG show af. When we start anticoagulant?

Good question: There is multitude of factors affecting anticoagulant therapy, patient's current physicians will analyze these factors and they should make the decision. Good luck. ...Read more

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Mi ankle was fractured in 2010. I went for Ayurvedic treatment it'z cured but i cannot walk long distance incase i walk it'z getting pain for two days?

Mi ankle was fractured in 2010. I went for Ayurvedic treatment it'z cured but i cannot walk long distance incase i walk it'z getting pain for two days?

Ankle pain: Sorry to hear, since your ankle surgery 3 years ago, your body may have decreased swelling around the area, if they used screws and plates to fix the ankle fracture than it could be impinging or prominent. Although it could be a number of things going on, i'd rec x-rays to better diagnose the causes of ankle pain. Best of luck! ...Read more

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Echo 2 mos ago, results = LA dilated, mild functional mr and trivial functional tr.holter result sinus rhythm, PVC seen 32.7%. Now discomfort jawline?

Echo 2 mos ago, results = LA dilated, mild functional mr and trivial functional tr.holter result sinus rhythm, PVC seen 32.7%. Now discomfort jawline?

See your doctor: To assess whether the pain in your jaw line is related to your heart you will need a stress test. This is especially the case if that jaw discomfit occurs with exertion. The echo cardio gram will not necessarily give you information about your arteries, especially if these new symptoms. Good luck to you! ...Read more

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Alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. Nafld or nash?

Alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. Nafld or nash?

Continue workup: Now would be a great time to get really into aerobic fitness -- this is likely to reverse nash / nafld. You'll get checked for hepatitis c, wilson's, hemochromatosis, autoimmune hepatitis and a few others. Trust you're not taking meds or that they have been ruled out as causing the problems. ...Read more

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+ Antimitochondrial M2 antibodies w/ 4previous elevated ALP's. Most recent ALP normal. Still suggestive for PBC?

+ Antimitochondrial  M2 antibodies w/ 4previous elevated ALP's. Most recent ALP normal. Still suggestive for PBC?

No: The diagnosis of PBC is made through liver biopsy. The other best tool is the biliruben. Taken together they give a diagnosis and prognosis for survival. As you know PBC is though to be an auto immune disease. ...Read more

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Help me, 59yrf-dercum's disease, lymphedema, ans disorder, heart disease- mi x3, 10+herniated discs, autoimmunity, gastroparesis, duodenitis w nodule?

Help me, 59yrf-dercum's disease, lymphedema, ans disorder, heart disease- mi x3, 10+herniated discs, autoimmunity, gastroparesis, duodenitis w nodule?

Too many issues here: If you do have all these listed problems, you need a good internist to take care of you and guide you further. Health matters get complicated if you truly have more than one or 2 ailments and you need long term care for any such diseases that are chronic in nature. You need a good primary care doctor to guide you for the long term. ...Read more

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Chloride 94.9 L, Anion Gap 16.1 H, AST 58 H, Immature Granulocytes ABS 0.01 H,Ketones urine SMALL NEG. A, specific gravity urine <1.005 L. ?

Chloride 94.9 L, Anion Gap 16.1 H, AST 58 H, Immature Granulocytes ABS 0.01 H,Ketones urine SMALL NEG. A, specific gravity urine <1.005 L. ?

Plan: It's not clear what you want to know. To explain your abnormalities we need to know your primary condition. Your doctor who know your clinical symptoms and your previous results should explain it to you. ...Read more

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I have back pain but I want to do any test where doctor can tell me exact problem, so tell mi which test I should do?

I have back pain but I want to do any test where doctor can tell me exact problem, so tell mi which test I should do?

It depends: Back pain can be due to many causes. Determination of specific test depends on the history related to pain, its nature and behavior, response to motion or lack of it, radiation to what other parts of your body, what relieves or aggravates it, etc. Other non-pain history can be helpful such as cancer, trauma, etc. Physical exam is needed. Overall, you need to be evaluated by a physician. ...Read more

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I'm hebs ag negative with a high anti hbs antibody from vaccination. This week's test was reported as hebs ag detected with anti hbs antibody of 513 miu/ml. Lft normal....Scared....Lab error?

I'm hebs ag negative with a high anti hbs antibody from vaccination.  This week's test was reported as hebs ag detected with anti hbs antibody of 513 miu/ml. Lft normal....Scared....Lab error?

Yes: That sounds like lab error. Your hbsab would provide immunity; i'm assuming yoru hbcab (core) is negative; i wouldn't worry, talk to your doctor about a retest if you are concerned, but even if you were infected, there is no reason for treatment at this time. ...Read more

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For 58+ F, Hb 10.8, RBC 3.66, PCV 34, MCV 94, MCHC 31, WBC 5.4, Pt 1.8, Iron 57, TIBC 255, TSI 22, RC 1.2, Ferritin 83 indicate which type of anemia ?

For 58+ F, Hb 10.8, RBC 3.66, PCV 34, MCV 94, MCHC 31, WBC 5.4, Pt 1.8, Iron 57, TIBC 255, TSI 22, RC 1.2, Ferritin 83 indicate which type of anemia ?

Mild anemia: Assuming you've had no recent bleeding episodes, these findings could be seen in mild/early anemia of chronic disease. Hgb and Hct are only boarder line low, and iron panel appears within the reference range. Even something as simple as a particularly heavy period could cause mild anemia of this type, though. If you have a chronic medical illness, it could cause this type of anemia. ...Read more

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2 early MC, heartbeat seen 2nd case, no live birth, turner's synd in fetus 2nd case, karyotyping & immunological tests normal. Way fwd? More tests?

2 early MC, heartbeat seen 2nd case, no live birth, turner's synd in fetus 2nd case, karyotyping & immunological tests normal. Way fwd? More tests?

Maternal fetal medicine: specialist is what you need with your high risk pregnancies, if you don't have one available in your area please seek advice in a teaching hospital ...Read more

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29.Full cardiac work up.Cardiologist said my heart is very healthy.I know this does not mean I can't have a MI but it is rare for now?Stop worrying?

29.Full cardiac work up.Cardiologist said my heart is very healthy.I know this does not mean I can't have a MI but it is rare for now?Stop worrying?

Sorry: Silent heart disease is a killer in our country: good news- you have a cardiac clearance and hopefully a negative family history. Follow a good diet, exercise daily, and do not shop for a heart diagnosis- enjoy life to its' fullest. ...Read more

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My blood test results: total bilirubin: 1.41 h ast: 40 h alt: 100 h total alk phosphatase: 43 l serum total protein: 7.1 e.R. Said hepatitis?

Let's try this...: I have only a little bit of the story you've shared. Perhaps it's time to see whether the ast and alt get back to normal after two weeks off alcohol and any not-totally-necessary meds you may be taking. If so, this is the start of a healthier life after alcohol. If not, the workup for virus infections, iron overload, wilson's, autoimmunity & need for exercise can begin. Good luck. ...Read more

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Female, age 34 taking thyroxin 2 and 1/2. Hypothyroid. Irregular period?

Female, age 34 taking thyroxin 2 and 1/2. Hypothyroid. Irregular period?

Talk to doc : I don't have enough information of your health to tell you what is causing the irregular bleeding. See your doc. Could be thyroid, prolactin, other meds, drugs, hormone imbalance, polyps, fibroids; a lot of stuff. Need exam and ultrasound, maybe blood work. Def recheck thyroid and do a preg test. ...Read more