I Have In The Last 2 Weeks Been Experiencing At
I believe my blood work is attached .
High triglycerides 401
Alkaline Phostase was 127 when it should have been 117
One of my fears is HIV and I have tested with Oraquick several times outside the 90 days window up to 1 year with all negative all where mouth swab test all do by me except one at 15 months that was a oraquick oral swab test done by a clinic.
So I had a tick in me and was not sure how long and I did remove it and about 2-3 weeks later felt really tired and chills no fever or rash along with joint pain. So my Dr placed me on Doxy a antibiotic for 10 days so cold this be a post effect if I actually had Lyme disease? My doctor never really checked but ordered me the doxy by phone. I also had several get embedded in me in the spring around April and May but I believe I got them out fast enough.
Then there is the fear am I having a bunch of XXXXXXX strokes?
questions about several different conditions
Detailed Answer:
Hello Mr. Fodge and welcome to Ask a Doctor. I have read your queries and here is my advice.
I believe the feelings you are experiencing represent a sensory disturbance. It involves small nerve fibers of multiple nerves in different parts of the body. This is not mini-strokes.
The blood tests for HIV confirm that you do not have HIV.
After two-three weeks the tick was removed and you experienced chills and fatigue. It is possible that this could have been one form of Lyme Disease; however to be sure blood tests for Lyme antibodies would have to be done.
You have already been treated and do not need more treatment. Thank you for including your blood study results.
Both glucose and alkaline phosphatase are nearly normal and should not cause worry.
Cholesterol and triglycerides are fat chemicals normally found in the blood and are elevated.
Suggestions to treat your high fats:
-diet: drink fat-free of two % milk, NO whole milk,
reduce ice cream to 1-2 small servings a week, eat more chicken and fish, stop red meats altogether,
increase fruits and vegs for meals, snacks, and desserts. Chicken and fish should be baked or broiled, NOT fried.
- get a good night's sleep
-exercise: begin walking 15 min. three times a week, second week 20 min three time a week, third week 30 minutes three times a week; fourth and following weeks 30minutes five times a week.
I suggest you be evaluated for the sensations by a neurologist and go back to your primary care physician three months after the blood studies that you included were done. You should have your blood fat levels checked again. Your doctor may have other ideas to treat your blood fats.
A word of advice your begin on a stepwise manner; don't change your diet all at once.
Hope I have answered your queries. If you have any further questions, I will be happy to help.
If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health.
Arnold Zedd, MD
Also this does not sound like XXXXXXX strokes to you? I just get concerned that there is always something more going on?
Regarding HIV test and mini-strokes I think you are ok.
Detailed Answer:
Welcome back, Mr. Fodge. I am glad to have the chance to assist you again.
The oral swabs are sensitive enough to detect HIV.
If it makes you uncomfortable, then you can request a blood test from you physician.
Because you do not have any muscle problem, change in vision, or trouble speaking, I do not feel that you are having strokes.
If you have additional concerns, I shall wait for you to return.
Arnold Zedd, MD