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What Does The CRP Level Of 27 Indicate?
Question: My CRP level is currently 27. What ways or tests can my Dr (he's a D.O.) do to determine where the inflammation is coming from besides 30 day antibiotics, 30 days prednisone, 30 days terbinaphine? Tried all and tested after each 30 days with only a 10 point drop after the terbinaphine did another 30 days of it but CRP went back up. All other levels in CBC panel within normal ranges. Any suggestions are appreciated or maybe should I see different TYPE of Dr.
Brief Answer:
Further diagnostics suggested below
Detailed Answer:
Dear Patient,
in order to narrow down what causes high crp, i usually ask my patient if they have any specific symptoms to figure out the focus, main 3 areas are:
1. coughing/ throat infections/ lung infections: to be ruled out by examination and in case of cough chest x ray or even cat scan of the lungs
2. abdominal pain, bowel disturbance such as diarrhea or constipation. Abdominal infections to be ruled out by ultrasound, or even coloskopy, gastroskopy, cat-scan and stool diagnostics
3. Infection of kidneys/ urinary tract: to be ruled out by ultrasound of kidney and bladder and urin test in case of any symptoms in that area.
Hope this is helping you , if you have any clarificatons you can get back to me, if this was helpful please kindly rate my answer. Best regards
Further diagnostics suggested below
Detailed Answer:
Dear Patient,
in order to narrow down what causes high crp, i usually ask my patient if they have any specific symptoms to figure out the focus, main 3 areas are:
1. coughing/ throat infections/ lung infections: to be ruled out by examination and in case of cough chest x ray or even cat scan of the lungs
2. abdominal pain, bowel disturbance such as diarrhea or constipation. Abdominal infections to be ruled out by ultrasound, or even coloskopy, gastroskopy, cat-scan and stool diagnostics
3. Infection of kidneys/ urinary tract: to be ruled out by ultrasound of kidney and bladder and urin test in case of any symptoms in that area.
Hope this is helping you , if you have any clarificatons you can get back to me, if this was helpful please kindly rate my answer. Best regards
Above answer was peer-reviewed by :
Dr. Raju A.T
Host of symptoms...not sure if or how all are related: Gas and bloating, constipation, fatigue (some days worse than others....worse in the morning) chronic plantar facia (extremely painful to get out of bed in a.m.) can be on my feet too long pain gets bad and effects my back, chronic lower back (sacrial area) with what seems to be like a sciatica but runs around to right and over right pelvic (Illium) bone...then makes the top layer of my thigh numb and at night when laying in a position then turning sends fire down right thigh to above the knee. There is also a deep itch that I get in this right thigh that almost can't be scratched hard enough! Currently wear orthopedic shoes with arch support. Never go bare foot. It seemed to help more in the beginning but lately doesn't seem to be quite as effective.
There are also several points on my body when you run your fingers over the muscle area there are some spots that fire off extreme pain. Wondered about fibromyalgia because the trigger points seem to match for the most part.
Starting to have what seems like muscle spasms kind of under (behind) my rib cage where my liver is. Also seborrheic dermatitis in case that's at all related...oh and ringing in my ears has become more frequent and different ring tones..weird! Oh and I also had/have endometriosis and had to have a foot of my colon removed about 5 years or so ago due to the tissue creating a blockage. The surgery was scheduled so quickly because of the blockage that we didn't find our it was endometriosis until it was over. Just got call to schedule follow up colonoscopy...will do.
No back pain where kidneys are located and kidneys and liver both tested fine with a blood test that was done before the second round of terbinaphine...sorry don't know the name of the test. No urinary tract infection..tried that. No problems urinating. No problems with lungs or coughing...though no x-ray or cat scan ordered. Did a stool sample test for yeast...came back normal range.
Mom calls me an inigma...what's a girl to do but keep searching right! Hoping for further direction. Thanks~
There are also several points on my body when you run your fingers over the muscle area there are some spots that fire off extreme pain. Wondered about fibromyalgia because the trigger points seem to match for the most part.
Starting to have what seems like muscle spasms kind of under (behind) my rib cage where my liver is. Also seborrheic dermatitis in case that's at all related...oh and ringing in my ears has become more frequent and different ring tones..weird! Oh and I also had/have endometriosis and had to have a foot of my colon removed about 5 years or so ago due to the tissue creating a blockage. The surgery was scheduled so quickly because of the blockage that we didn't find our it was endometriosis until it was over. Just got call to schedule follow up colonoscopy...will do.
No back pain where kidneys are located and kidneys and liver both tested fine with a blood test that was done before the second round of terbinaphine...sorry don't know the name of the test. No urinary tract infection..tried that. No problems urinating. No problems with lungs or coughing...though no x-ray or cat scan ordered. Did a stool sample test for yeast...came back normal range.
Mom calls me an inigma...what's a girl to do but keep searching right! Hoping for further direction. Thanks~
Brief Answer:
Rheumatologic/ Borreliosis blood work also advisable
Detailed Answer:
Dear patient,
not all your symptoms have direct relation to each other or the high crp levels.
The colonoscopy that is scheduled is recommendable to check on the gas and bloating part.
Also tests for intolerance to lactose, fructose, sorbitol and gluten should be done, as well as stool samples for bacteria and parasites and helicobacter pylori should be checked, not only yeast.
For the chronic lower back pain sports like swimming or yoga are recommendable. In the overall picture also blood work to rule out rheumatic/ connective tissue disease and borreliosis antibodies would make sense to check if some of the bone/ muscle- and fatigue related symptoms can come from that.
Best regards again,
Rheumatologic/ Borreliosis blood work also advisable
Detailed Answer:
Dear patient,
not all your symptoms have direct relation to each other or the high crp levels.
The colonoscopy that is scheduled is recommendable to check on the gas and bloating part.
Also tests for intolerance to lactose, fructose, sorbitol and gluten should be done, as well as stool samples for bacteria and parasites and helicobacter pylori should be checked, not only yeast.
For the chronic lower back pain sports like swimming or yoga are recommendable. In the overall picture also blood work to rule out rheumatic/ connective tissue disease and borreliosis antibodies would make sense to check if some of the bone/ muscle- and fatigue related symptoms can come from that.
Best regards again,
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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