Can you suggest treatment for my elevated D-dimer levels?

Hello,

Welcome to icliniq.com.

1. The D-dimer test is used to exclude deep vein thrombosis, such as a thrombotic disorder.

2. Your D-dimer value (fibrin degradation product) is slightly high.

3. If clinically and from other investigations, thrombosis is not present, then other causes for high false positive D-dimer can be ruled out.

4. False positive causes for elevated D-dimer are inflammation, malignancy, surgery, trauma, and liver disease, etc.

I hope it helps.

Thank you.

Hello,

Welcome back to icliniq.com.

1. From your history, it seems that your breathlessness is because of an anxiety-induced panic attack.

2. For that, you can continue a prescribed medication regularly, and it will definitely help relieve you from panic attacks.

3. SGPT (serum glutamate-pyruvate transaminase), SGOT (serum glutamic oxaloacetic transaminase), ultrasound of the abdomen, and CBC (complete blood count) with peripheral smear examination can be investigated to rule out any other cause if present.

4. Your physical examination of the liver, spleen and lymph nodes should be done.

I hope it helps.

Thank you.

Hello,

Welcome back to icliniq.com.

1. Your breathlessness is from panic attacks due to anxiety issues. For that, prescribed medication from a psychiatrist can be continued regularly.

2. With regular intake of medicine and yoga, the anxiety will be less, and you will have fewer panic attacks.

3. For high D-dimer, preliminary investigations like SGPT (serum glutamate-pyruvate transaminase), SGOT (serum glutamic oxaloacetic transaminase), ultrasound of the abdomen, and CBC (complete blood count) with peripheral smear examination can be done.

4. In addition, your physical examination of the liver and spleen should include lymph node palpation.

5. For physical examination and to discuss your case, you can consult a nearby physician.

I hope it helps.

Thank you.

Hello,

Welcome back to icliniq.com.

1. For deep vein thrombosis of the legs, a color Doppler investigation can be done and for pulmonary embolism, a CT (computed tomography) angiography can be done only if needed.

2. SGPT (serum glutamate-pyruvate transaminase), SGOT (serum glutamic oxaloacetic transaminase), and CBC (complete blood count) are the blood tests.

I hope it helps.

Thank you.

Hello,

Welcome back to icliniq.com.

Ultrasound of the abdomen is a scan test.

I hope it helps.

Thank you.

Hello,

Welcome back to icliniq.com.

Yes, liver, spleen and lymph nodes are palpated by a doctor during examination and treatment is needed if they are enlarged.

I hope it helps.

Thank you.

Hello,

Welcome back to icliniq.com.

So, you mean to say you have investigated for pulmonary embolism as well as deep vein thrombosis?

I hope it helps.

Thank you.

Hello,

Welcome back to icliniq.com.

1. Do the above discussed four basic investigations and discuss the results with your physician for physical examination.

2. If needed further workup accordingly can be done.

3. Do not directly think about death.

I hope it helps.

Thank you.

Hello,

Welcome back to icliniq.com.

1. For panic attacks, behavioral counseling and drugs are very useful.

2. Yoga and meditation also have a good effect.

3. We will discuss further after examination and investigations are done.

I hope it helps.

Thank you.

Hello,

Welcome back to icliniq.com.

You are most welcome. We are there to help you.

Thank you.