Dr. Goswami Parth Rajendragiri
Pathology
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Patient's Query
Hello doctor,
Recently, my D-dimer levels were 1.35 mg/L. Two months back, they were 1.49 mg/L. I have severe stress and anxiety and am sensitive to salt and sugar. I get chest pain when I consume salty foods. My blood pressure goes up occasionally. However, I do not have shortness of breath. Also, as detected on an X-ray, I do not have clots in my chest. By which tests will the clots be revealed? Also, what is the reason for formation of blood clots? Are they due to inflammation?
Kindly advise.
Hello,
Welcome to icliniq.com.
I understand your concern.
Following is my opinion on your questions.
CT (computed tomography) angiography or invasive angiography can detect a heart clot. A stress test does not detect a clot. Sometimes, chronic hypertension induces vessel damage, inflammation, and infection, raising D-dimer levels. If your blood pressure increases after taking salt food, it suggests you have hypertension. Your blood pressure should be monitored for a week, and a low-dose antihypertensive drug should be started if it is elevated. You can discuss this with your hematologist and start medications for blood pressure if needed. Also, I suggest you get CT angiography to detect coronary artery clots.
I hope this helps.
Thank you.
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Pathology
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