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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I noticed tiny white lumps on the back of the throat. What is it?

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

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 »

I have recurrent red spots on the back of the leg. What to do?

Query: Hi doctor, I have some reddish spots particularly in the back of my leg, which is growing, itching, and spreading on my skin. If I apply Candid B solution regularly, it gets reduced and disappears. However, if I stop using this solution, it starts growing back. What is this? Please suggest some perm...  Read Full »


Dr. V Srikanth Reddy

Answer: Hi, Welcome to icliniq.com. I need to know some history before giving an appropriate diagnosis. Did you have a fever before this rash? Do you have a sore throat? Is it only on one leg or both the legs? Any burning while micturition? Any history of joint or abdominal pain?  Are the lesions blanchab...  Read Full »

I have frequent ankle swelling. What to do?

Query: Hi doctor, I am a 29 year old male. I do not have any medical issues and doing workout regularly. I had frequent ankle swelling of the right ankle with pain for the last two months. It happened around four times in the last two months. I took blood and urine sample tests, and all found to be of val...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com We are here to help you. Since all your reports are negative with only raised ASO titers (attachment removed to protect patient identity), I need to the point that ASO titers signify Streptococcal infection that can occur as a result of a simple sore throat. However, tha...  Read Full »

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

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

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

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

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

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

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

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 »

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