Aso Titer

ASO (anti-streptolysin O) is the antibody made by the Streptococcus bacteria, and the test done to detect this antibody is called ASO titer. High levels of ASO in the blood might damage the heart and joints. High ASO is treated with Penicillin.

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Will intake of Penicillin help to reduce high ASO titer levels and generalized body weakness?

Query: Hi doctor,I was feeling tired all the time before few months. I went to a doctor and he asked me to do a ASO titer test with a couple of other tests. The result was 407 IU/mL. So, he told me to take Penicillin for the next three months. After a month, I did another test and visited another doctor. M...  Read Full »


Dr. Vineet Jain

General Practitioner, Family Physician

Answer: Hello, Welcome to icliniq.com. You can have fibromyalgia. It is a common post-infection, especially like Covid or post streptococcus infection. The high ASO (antistreptolysin O) titer level indicates that you are resistant to Penicillin or the levels do not correlate with your symptoms. You can do...  Read Full »

What causes knee pain and swelling?

Query: Hi doctor, I am 27 years old. I have knee pain in both the legs and it is paining alternatively for the past 1.5 years. Pain starts with swelling around the knee and stay for three to four hours and the pain will be at least once in one to two months. I feel like pinching with needle in the feet. I ...  Read Full »


Dr. Senduran N

Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. I have noted your complaints and also gone through the reports carefully (attachment removed to protect patient identity). You seem to have a preceding streptococcal A infection. I would like to know if you had any history of skin or throat infection left untreated or ...  Read Full »

Can injection Penidure LA be used during pregnancy?

Query: Hello doctor, Initially, my wife was having few joint pains in her knees and shoulder. Last year, she was diagnosed with high ASO level in blood with 800 (positive). At that time the medicine physician has prescribed her to inject Penidure LA12 (Benzathine Penicillin) injection at every interval of...  Read Full »


Dr. Radhakrishnan Nair B

Obstetrician And Gynaecologist, Sexologist

Answer: Hi, Welcome to icliniq.com. Injection Penidure LA (Benzathine penicillin) is a long acting Penicillin given to your wife for increased anti-streptolysin O (ASO) titer, to prevent inflammatory disorders. It is safe during pregnancy compared to other antibiotics. Since, she is symptom free she should...  Read Full »

What do increased antistreptolysin-O (ASO) and joint pain indicate?

Query: Hello doctor,My ASO is 203, and creatinine is 0.80. I am having a joint pain and stomach upset problem from the last four years. The RA factor is nil and hemoglobin is 11. I am sending my LFT and ASO reports. Please suggest.  Read Full »


Dr. Smit Uttam Janrao

General Medicine Physician, Internal Medicine Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. According to your complaints and reports attached (attachment removed to protect patient identity), I suspect a rheumatic heart disease in your case. I would recommend you get evaluated further. Increased ASO (antistreptolysin O) with joint pain could be due to a stre...  Read Full »

What are the long-term health risk of living in a wet and moldy area?

Query: Hello doctor,For many months, we lived in an apartment that was wet and moldy (both black mold and white or gray mold). First, can you tell me what the long-term health risks might be? And also, could the strep throats a family member began having been connected to it?  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to the icliniq.com. You are talking regarding health issue related to molds. Let me know you most common problem associated with mold exposure is hypersensitivity allergic inflammation problem in individuals who are susceptible to it. It can lead to allergic rhinitis, pharyngitis, ...  Read Full »

Please suggest about my blood report seen after bladder surgery.

Query: Hi doctor, I have undergone bladder surgery for poor flow. Now, I have done some blood test. I am in confusion. I have got rheumatic fever before 20 years. I am taking many antibiotics for the past two months. Please suggest.  Read Full »


Dr. Sumit Srivastava

General Medicine Physician, General Practitioner, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I have gone through the attachment (attachment removed to protect patient identity). Your ASO (antistreptolysin O) titer is raised suggesting antibodies against streptococcal metabolites. Your ESR (erythrocyte sedimentation rate) and neutrophil counts are mildly elevate...  Read Full »

Can a viral infection increase the ESR level?

Query: Hello doctor, I am 30 years old male. My recent blood report shows high ESR level (48 mm/hr). I am having a cough, fever, and a headache since eight days. The doctor told me that I have a viral infection, and has given me antibiotics and a cough syrup. Please guide.  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. According to the history, you have an upper respiratory tract infection. You need to do the following investigations. Physical examination. Auscultation. CBC (complete blood count). Throat swab for culture or ASO (antistreptolysin O) titer. If auscultation is suspicious, ...  Read Full »

Kindly suggest some medicine for cold, cough and itchy throat.

Query: Hi doctor, I have a sever cold and cough since couple of days. Please suggest me some good medicine, There is itching in the throat as well.  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. According to the history provided, it could be pharyngitis associated with upper respiratory tract infection. Your work up should be done as follows. Auscultation. Chest x-ray, only if auscultation doubtful. CBC with AEC (complete blood count with absolute eosinop...  Read Full »

I am having headaches, dizziness, and palpitations. What could be the cause?

Query: Hello doctor, I have been having headaches, dizziness, cold, feeling hungry at times, bitter taste, palpitations, and feeling sleepy. What would be the possible cause? Which tests should I undergo? Or which medicines or diet should I take? My age is 22 years. Currently, I am taking Magnesium sulfat...  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to icliniq.com. You are having a common cold problem and it can be a viral upper respiratory tract infection. But still, streptococcus infection can be ruled out by ASO (antistreptolysin O) titer, CBC investigation. Levocetirizine 5 mg OD for five days can be prescribed. Salt water...  Read Full »

What are the little white lumps at the back of my throat?

Query: Hello doctor,I am a 27 year old female. Yesterday, I noticed little white lumps at the back of my throat. The one behind the palatopharyngeal arch is red, and another one on the back of my throat, on each side, which is red in color with little white things on them. What is it? I do not know how lo...  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. Here in your case, a step-wise approach should be considered. According to the history provided, you have red swelling on posterior pharynx with white dots over that. Hence, it could be a tonsillar enlargement or posterior pharynx mucosa swelling or a mass. It can be...  Read Full »

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