Doctor insights on:
RA [email protected], [email protected], [email protected], [email protected], ALT(GPT)@59, [email protected], [email protected], Iron [email protected]%. Normal? Eval for RA. Have Fibro. Waiting on ANA/CCP.
See details: Those values mean absolutely nothing by themselves except for the fact that most are normal. Rheumatologic diagnosis, especially RA, depends on the presence of an inflammatory arthritis, not just aches and pains. Lab studies confirm the clinical diagnosis, they do not make the diagnosis by themselves. ...Read more
Hi, diabetic, hypertens, on lantus (insulin glargine) and amaryl 2x3 glucophage5oox4, novonorm2x3 , A1c 9.7 cannot do more excercise due to arthralgia and oa chages ?
WEIGHT LOSS CRUCIAL: WEIGHT LOSS IS CRUCIAL : I recommend a gluten free diet &WHOLEAPPROACH.COM/GUTBLISS.COM. If you have any sleep issues I would recommend as sleep study, there is a high overlap of sleep apnea and diabetes. Also I use Topamax (topiramate) in the evening for my diabetic patients it help with sleep/weight loss & improves insulin receptor sensitivity. ...Read moreSee 2 more doctor answers
Byepass surgery persons are still suffering controlling blood gucose level even tabelets alongwith insulin taken?
Pt 60 years , well controlled dm and htn, now suddenly developing ankle edema progressing chf? , discontinue pioglitazone+metformin+glimepride?
Gastric bypass 4 yrs ago w/ no weight loss. Type 2 diabetic, insulin dependent, heavy alcohol use. Could these issues totally negate the surgery?
Lipid profile, cholestrol 211, VLDL 17,LDL 142,HDL 62,trigylcerides 84, age 31, is drug therapy required? Or just diet
Diet and exercise: Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco in any form and do not take any alcohol. ...Read more
Lipid s.Chol.178 s.Triglycerides 105 hdl39. Ldl 110vldl 21. Medication. Listril plus 1 od . Amtas at 1 bd.Disprin1/2 bd.I play badminton.
Wht r risk n complicatn of 2nd kidney trnsplnt surg? Reason for graft fail unknown but wasnt polyoma virus. Pt has no comorbid,18yrs age. Hemdyls 2yrs
Renal transplant: In someone who has no comorbid conditions, the risk of a 2nd transplant is similar to the 1st. Rejection of the organ, surgical complications, infection, bleeding. Assuming that the graft fail was not due to viral, it has a standard transplant risk which is always high. ...Read more
Depends on trigs: It depends on how high the tg are. Diabetes will often cause modestly elevated triglycerides, and controlling the glucose will lower tg. The most important part of diet is weight loss. If tg are very high, eg. Over 1000, then you need to do the same, but you may have to limit dietary fat, which causes gut-derived lipoproteins (chylomicrons) to elevate. ...Read moreSee 1 more doctor answer
Dx of cardiomyopathy, CHF & diabetes in 9/2012. Taking metoprolol, lisinopril, pravastatin, metformin & lantus (insulin glargine). I have muscle pain w/ activity such as bending, walking, etc. Could it be due to meds?
Many ortho surgeries on legs as a child, on crutches now @ age 55, pain & low mobility & nafld-best wt loss route? Bypass, sleeve or lapband?
Pr3 at 3.8 but anca-c normal. Esr 80 hs crp 8.5 crp 0.4 with anemia, ckd, chf. Is pr3 related to neuropathy vasculitis?Reference ranges vary 4 pr3?
Rule out Wegener's: Lab error may happen when testing for vasculitis. If there's a lesion in the nose / ear / eye / lung / kidney that's suspicious for anca-c disease / "granulomatous polyangiitis" then biopsy is indicated; trust this over the labs. Dr. Wegener was a German in WWII but did not take part in crimes against humankind and the knowledge he gave the world has saved many lives. Hope this gets sorted out. ...Read more
Albumin 2.79g/dl , globulin 4.38 g/dl , a/g ratio is 0.64 g/dl. Rest of the liver function bllod test within range. Have hep c n cirohsis. Advice?
Hepatologist: Your test results show lack of acute inflammation in the liver, but the presence of hepatitis c that has already caused cirrhosis and decreased liver function means your management and possible treatments should be managed by an expert - a hepatologist or infectious disease specialist. ...Read moreSee 2 more doctor answers
Crp/sed rate norm 1 wk prior to out pt proced. Crp esc to 300 with hi d dimer. Admitted . diangosis multi org serositis/poss clot. history sle. Exp pot clot dx?
See details: I am not sure what you are asking. It sounds as if you have experienced a lupus flare. You were also likely tested for clotting disorders associated with lupus. Do you see a rheumatologist. If not, do so. If you do, any questions should be discussed with that doctor. ...Read moreSee 1 more doctor answer
22 yo; chr. Lyme; reactive synovitis; + hla-b27; no nsaids/steroids! opioids no help. Echo = dense tissue inhibited compression fem. Vein; flow norm.
Wait: What did you say? Lyme reactive synovitis occur in untreated long term lyme. It could respond to anti inflammatories and even disease modifying agents. B 27 refers to inheritance or ankylosing spondylitis or psoriatic arthritis. Not related to lyme. The other stuff makes no sense, could you elaborate? ...Read more
+ANA protein urine achy elbows knee foot ankle all lupus test neg ANA titre 1:320 AST&ALT high glucose high PTT LA 42 no diabetes. Help?
7yrs on prednisone & methotrexate + for "resistant ra"
recent elevated jo1, histone, muscle pain. How to confirm if polymyositis w/o stopping meds?
Mucle testing: Inflammatory myopathy, including polymyositis, is best diagnosed and treated by a trained rheumatologist. Symptoms are proximal muscle weakness. Abnormal lab tests include elevated muscle enzymes (CPK, AST/ALT); positive antibody tests, including Jo-1; abnormal EMG/nerve conduction test; edema seen on an MRI of proximal muscles; muscle biopsy showing destruction and regeneration of muscle cells. ...Read moreSee 2 more doctor answers
For 57+ F does serum creatinine 1.0 mg/dL along with 5-10% weight loss in 6-12 months, Hb 10.6 & Pt 1.2 L indicate early/mid stage kidney disease ?
RENAL DISEASE??: HELLO~ this show mild platelet reduction and anemia (HB10.2) You should see ur doctor to place on record its from menorrhagia,. or if not, find the cause and treat with iron after further tests. You need a CREATININE CLEARANCE to diagnose kidney disease and creatinine of 1.0 is within normal range. You would need massive wt loss to make Cr rise. thanks ...Read more
Recent scope surgery for FAI. Found 40% full cartilage loss. 4 months post surg now, pain move leg certain angles/rotation. Age 39. Consid birmingham?
The last thing U-: -need @ Ur age is any type of replacement, as the longevity is @ best 15 years in Ur age group. I would recommend activity modification, & put up with what U have as long as U can. It U have a replacement U will need 2 do that anyway. The longer U can put it of the better. That way U can hope 2 avoid a revision. ...Read moreSee 1 more doctor answer
Developed anca positive vasculitis with antihistone ab 1.4 after 2 months on losartan 50. disc reversedanemia. is angiogenesis critical 4 vasculitis?
This is more than o: Thisis more than one answer. The histone ab is seen in lupus and drug induced lupus. ANCA positivity can mean a variety of issue related to vasculitis but other conditions also, Uncertin about you commetn on anemia. Angigenesis is usually part of a variety of conditions including vasculitis but is seen in non-vaculitis syndromes also. Would advise you disucss this with your rheumatologis ...Read more