Doctor insights on:
Rheumatoid Factor 10
Ana 1:80 homogeneous, sed rate 51, chronic post nasal drip, inflamed sinuses, osteo arthritis, fatigue, brain fog. What are some possible explanations?
Labs not helpful: These are generally unrelated problems. Chronic sinusitis and post nasal drip are likely one and the same. Arthritis may be just that. The ANA and ESR are nonspecific and may be "normal" although elevated. The list of things that can cause fatigue and brain fog is rather extensive and is probably best answered in person with your doc. ...Read moreSee 1 more doctor answer
Rheumatoid factor (rf) is a test that is often sent to evaluate a person with joint pain and stiffness . A positive rf has to be interpreted in the context of the patients symptoms. Sometimes the + rf is false, and not clinically related to the patients symptoms. Rf can be +ve in other conditions such as infections and certain cancers. Some patients with rheumatoid arthritis ...Read more
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
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
+ ANA test, severe neutropenia with large granular lymphocytes, high monocytes and lymphocytes. Osteoarthritis. Bone marrow biopsy negative. Idea?
For 57+ F with Hb 10.6, RBC 3.6, Pt 1.2L & ESR 51 while normal MCV & MCHC, does Ferritin 35 [4 - 204] indicate iron deficiency or haemolytic anemia ?
How is a pos ANA speckled, pos C-ANCA, pos P-ANCA, hep A virus, hep B surface, low Urate and low leukocytes all connected with Seizures and Arthritis?
Best reason: Rheumatoid arthritis is the best indication for total elbow arthroplasty (tea). Tea restores function and provides excellent pain relief, in rheumatoid arthritis. After surgery lifting will be restricted, but range of motion is improved and usually pain free. Find a board certified orthopaedic surgeon who specializes in this type of surgery, usually a hand or shoulder and elbow surgeon. ...Read moreSee 2 more doctor answers
I had the following test results- what do they mean? Rfactor -7, ANA choice screen - positive, rnp antibody- 2.0, DNA da antibody 5
I am 23 bilatral mild kne tendernes 1 year.Rib , hip , tendernes on and of.Uric acid 6.4:hct62.5% RA , anti ccp negativ.Wbc 9000 one kidney gone .P.U.V?
Hematologist needed!: If you are a non-smoker, the hct of 62.5% strongly indicates a "myeloproliferative" disorder of which polycythemia vera is a variant and can give bone pain, especially if there is a high viscosity that limits blood flow and tissue oxygen delivery. The uric acid is not significantly elevated and not playing a role in your symptoms, but ongoing monitoring is required with blood disorders. ...Read more
+ Antimitochondrial M2 antibodies w/ 4previous elevated ALP's. Most recent ALP normal. Still suggestive for PBC?
I have Wastebasket dX of an immune mediated enteropathy. Aza & budesonide. Any potentially useful adjuvants? Nutritional strategies/supplements ?
1st pregnancy last yr, blood clot pass every 10 or 15days, finally 13th week miscarried. Lung TB treated 10 yrs ago. Need to check anti phospholipid?
Possibly: Most first trimester miscarriages are due to fetal malformations or chromosome abnormalities. Classic APAS related are often second trimester or associated with other problems like infertility. But if no explanation otherwise for fetal loss, thrombophilia tests like for antiphospholipid antibody are reasonable. ...Read more
Male 55 healthy/active prostate cancer, scheduled for rp, psa 6.5 biopsies 6of8 pos 2aggessive, gleason 7. Are there other options to consider other than surg. Ct and bone scan clear. ?
Yes but: Alternatives are external beam radiation and radiation seeds (brachytherapy). At your age, conservative (watching) isn't advised. All of the therapies can cause urinary incontinence and e.D. - with surgery, they get better over time for most. With radiation, they get worse over time. Surgery is the time honored best of a bad situation. Good luck. ...Read moreSee 4 more doctor answers
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
How can chikungunya infection complicate pre exisiting lupus, over -active thyroid and coronary arythmia?
Emg & ncv2 unit test result:sensory polyneuropathy & possible bilateral c8, t1, l4& L5 rediculopathy.What does that mean? Not alcoholic nor diabtc & hiv
Fatigue studies (CFS?): For poor concentration & memory, could a neurologist help? Current specialist advisors: sleep, rheumat., endocrin., immun. MDs
Would a negative brain MRI rule out Huntington's in 53yo with sx worsening over 30 yrs? Family history unknown (orphan). DNA test pending.
ANA 1:640, malar rash in sun, periodic leukopenia,pleuritic chest pain,photosens rashes,mouth sores,raynauds,muscle & joint pain;sed rate,C3,C4 normal?
Wbc 13.2 RBC 4.73 hemoglobin 10.2 hematocrit 33.8 mvc 72 MCH 21.6 mchc 30.2 RDW 16.2 platelets 816, 000.Thoughts?Should i be worried with the platelets
Probably reactive: You are anemic and the numbers are suspicious for iron deficiency. If you are a healthy 34 year-old who menstruates regularly, you could easily be low in iron. The plaelet count is very high, but is likely reacting to the low iron and should come down if it is replaced. The elevated white cells (WBC) is not as easy to understand. Inflamation, infection, other? Could use more info. Good luck. ...Read more
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