Brief Answer:
blood reports review

Detailed Answer:
Hi,

Thank you for writing on health care magic

Well your ANA is very strongly positive, but since you are saying it has been there for 14 years it may not be that relevant as 5 - 10 % of normal population can have ANA +ve.

But the titres are very high and i would wanna ask you a few questions as blood in urine does sound a bit alarming

1. Could you send me a detailed report for the Urine. I want to see if there is presence of proteins or casts in it

2. Do you experience any symptoms like : Oral ulcers, Rash over the face or arms, Photosensitivity,Excessive hair fall, joint pains

3. Did you ever experience any bluish discoloration in the fingers during the winter season or are you experiencing dryness in the mouth or eyes

4. Have you ever got tested for ENA Profile, Complement levels and Anti Ds DNA

5. How about the other blood reports: ESR, Kidney Parameters, Thyroid Levels and Liver function tests

6. Any other change which you have been experiencing

ANA can be positive in 5-10 % population and even in thyroid disease but there is a chance that the person may develop autoimmune problem during it s course.
So do let me know these queries and i will be able to guide you further...

Take care

Regards
Dr naval

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Brief Answer:
connective tissue disease

Detailed Answer:
Good evening. Sorry for late reply as it was night time in our country. First thing I am doing after waking up is answering your query.

I have gone through your blood reports and history. Rashes, swollen ankles and hands, Ana positivity, dry mouth all point towards a connective tissue disease. To find out which one is sort of difficult without the further set of antibodies as lot of these diseases have quite the same symptoms

I do want to see your urine routine report still to see then blood and protein loss in it. I would suggest you to schedule an appointment with a rheumatologist there, so he can have a look at your condition from a different angle.

Meanwhile you need to get tested for ENA profile and complement C3 C4. ENA profile checks another 25,antibodies of Ana and helps point us to the connective tissue disease if any.

My last query is:

1. is your sleeping pattern OK,

2. do you experience any irritability or forgetfulness as well

Do let me know for further queries. I will be happy to help you out here..take care

Regards

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Brief Answer:
? connective Tissue Disease

Detailed Answer:
Good evening.

History noted:

At this stage, since I have not examined you and from the blood reports and history you have told, I would suggest you to get the following test done:

1. ENA Profile
2. Complement C3 and C4
3. Schirmmers Test( Strip test for eye dryness)
4.X Ray Chest PA View
5. Repeat your urine routine once again..

It will help us give a clue to which connective tissue disease we are dealing with. Once you have these results , you should schedule an appointment with a Rheumatologist. It will be easier for him to give you the right diagnosis and the treatment in the first go.

But if these results come back negative, there is a less reason to worry about as there is nothing serious. ANA could just be positive but not causing any harm

I hope the information was useful

Do let me know for more queries. Stay Healthy

Regards
Dr Naval

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