Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Medicine For Perimenuposal Suffer From Fybromyalgia
Question: Hello 50 yr old women here perimenuposal suffer from fybromyalgia and costochondeitis. A few weeks ago I had rib pain ended up in er they did all blood work for cardiac all came back normal except high D Dimer so did ct scan came back clear no blood clots .. told to follow up with gp I have been going to get a Dimer blood work every week since it has come down but still pretty high I am not on anything but wondering what it can be my gp said it could be fybromyalgia my inflammation markers were within normal range … any suggestions
Brief Answer:
D-dimer can be raised due to underlying inflammatory conditions
Detailed Answer:
Hello,
Raised D-dimer is seen in thrombo-embolic disorders.
Raised levels can also be seen in inflammation.
Fibromyalgia and costochondritis are both inflammatory conditions and can lead to raised d-dimer.
However, other inflammatory markers like C-reactive protein (CRP), ferritin and ESR will also be raised.
So, I suggest you to get these levels checked.
In addition, a further test - FDP can be also be done to rule out thrombo-embolic phenomenon.
A normal FDP will rule out thrombo-embolic phenomenon and in that case these inflammatory conditions will be responsible for high D-dimer.
If you have more queries, I will be glad to answer.
Thanks and take care
Dr Shailja Puri
D-dimer can be raised due to underlying inflammatory conditions
Detailed Answer:
Hello,
Raised D-dimer is seen in thrombo-embolic disorders.
Raised levels can also be seen in inflammation.
Fibromyalgia and costochondritis are both inflammatory conditions and can lead to raised d-dimer.
However, other inflammatory markers like C-reactive protein (CRP), ferritin and ESR will also be raised.
So, I suggest you to get these levels checked.
In addition, a further test - FDP can be also be done to rule out thrombo-embolic phenomenon.
A normal FDP will rule out thrombo-embolic phenomenon and in that case these inflammatory conditions will be responsible for high D-dimer.
If you have more queries, I will be glad to answer.
Thanks and take care
Dr Shailja Puri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi thanks … I am due to see a vascular surgeon on the 23rd any suggestions for now stay hydrated move around should I elevate my legs when sleeping … ? I am also going to be taking a car ride about 1.5 hours should I stop at 40 min mark yo move my legs ? Should my legs be elevated during this ride ? My gp said hi just ensure I am well hydrated and to get out of the car before it hits ans hour
Brief Answer:
I suggest you to folow your doctors advise to avoid deep vein thrombosis
Detailed Answer:
Hello and welcome again,
Since the D-dimer levels are elevated and an underlying thromboembolic phenomenon is suspected, thus your physician has advised you to keep the legs elevated.
Moving the legs and avoiding immobility avoids formation of deep vein thrombosis (DVT).
Thus, I advise you to follow instructions of your physician.
Thanks and take care
Dr Shailja Puri
I suggest you to folow your doctors advise to avoid deep vein thrombosis
Detailed Answer:
Hello and welcome again,
Since the D-dimer levels are elevated and an underlying thromboembolic phenomenon is suspected, thus your physician has advised you to keep the legs elevated.
Moving the legs and avoiding immobility avoids formation of deep vein thrombosis (DVT).
Thus, I advise you to follow instructions of your physician.
Thanks and take care
Dr Shailja Puri
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
