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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Reasons For Elevated D-dimer, Abdominal And Back Pain?

Hello, I have been experiencing horrific upper right quadrant abdominal and back pain, including chest pressure, heart palpatations, and nausea, for about two weeks. Before this started I had the flu for 9 days, i became extremely dehydrated from this. Now i have all this pain. I have had chest xrays, chest and abdominal ct scan with and without contrast. All came back normal. Although they did a d-dimer test and it was elevated. So I dont know what else it could be and why my d-dmer was elevated???
Mon, 21 Apr 2014
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Ayurveda Specialist 's  Response
**
1. Since only quadrant is mentioned, thus it is impossible to precisely locate the exact location of pain , since Right quadrant is further divided into right hypochondrium, right lumbar and right iliac fossa region, thus evaluation is of utmost important from a Physician who can recommend for general Surgeon for expert opinion and examination.

2. since Investigations came normal, thus 'acute abdomen' and its causes are excluded.
3. d-dimer helps to diagnose thrombosis, but confirm with ultrasound of the leg veins or lung scintigraphy or CT scanning to rule out pulmonary embolism [chest pressure/nausea, heart palpitations], also false positive readings can be due to associated liver disease, high rheumatoid factor, inflammation, malignancy, trauma, pregnancy, recent surgery as well as advanced age, so make sure your attending Physician has ruled out these possibilities with relevant examination and investigations.
4. MRI of Lumbar spine can be done to exclude any disc prolapse, along with lipid profile and blood pressure
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What Are The Reasons For Elevated D-dimer, Abdominal And Back Pain?

** 1. Since only quadrant is mentioned, thus it is impossible to precisely locate the exact location of pain , since Right quadrant is further divided into right hypochondrium, right lumbar and right iliac fossa region, thus evaluation is of utmost important from a Physician who can recommend for general Surgeon for expert opinion and examination. 2. since Investigations came normal, thus acute abdomen and its causes are excluded. 3. d-dimer helps to diagnose thrombosis, but confirm with ultrasound of the leg veins or lung scintigraphy or CT scanning to rule out pulmonary embolism [chest pressure/nausea, heart palpitations], also false positive readings can be due to associated liver disease, high rheumatoid factor, inflammation, malignancy, trauma, pregnancy, recent surgery as well as advanced age, so make sure your attending Physician has ruled out these possibilities with relevant examination and investigations. 4. MRI of Lumbar spine can be done to exclude any disc prolapse, along with lipid profile and blood pressure