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Elevated D-dimer, severe left side upper abdominal pain - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi. I have severe left side upper abdominal pain. Had elevated D dimer test 1.6. Had two ct's, both normal, no PE's or other clots. Now researching what 1.6 elevated d dimer could mean when blot clots are ruled out. Haven't had recent pregnancy or other surgery. Does it mean I have cancer?
User :   hi
User :   Dr. XXXXXXXX here.
User :   let me read what you have typed.
User :   when was this test done? and for what reason?
User :   what symptoms do you have at present?
User :   are you there?
User :   I meant "blood clots" not "blot clots". And I am 39, otherwise very healthy and active. Non smoker. Having trouble with site
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User :   if it is due to your browser problem it will be resolved
User :   are you able to see what I am saying?
User :   what symptoms do you have at present?
User :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
User :   Trying test post
User :   One more test
Doctor :   Ok please proceed
Doctor :   What are the symptoms you have at present?
User :   Now seems to be working. I had left upper abd. pain. Gall stones and ulcer ruled out. Specialist sent me for ct because of elevated d dimer (1.6). No clots found. Still having the sever pain in my upper abdominal area on lft side. What else could elevated d dimer mean if there are no clots found? After much "googling", it looks like it must be an underlying cancer.
Doctor :   Ok, do not get into a notion which can really worry you and stress yourself
Doctor :   Let me ask you few questions
Doctor :   What is your age?
User :   I am 39 and in otherwise very good health. I am a non-smoker/drinker/drug user. Workout everyday.
User :   I am 39 and in otherwise very good health. I am a non-smoker/drinker/drug user. Workout everyday.
Doctor :   Ok
Doctor :   What other tests were done along with D dimer test
Doctor :   Were there some clotting factors and Liver function tests?
User :   An ultra sound of gall bladder and two CT's, one of heart lungs and lower abdominal. Liver function tests and other blood tests were normal.
Doctor :   So do you mean everything is normal and the doctor thinks the D dimer test is above the reference range?
User :   Yes.
User :   She wanted to rule out a PE because of the elevated d dimer and the location of my pain.
Doctor :   Reference values are dependent on many factors, including age, gender, sample population, and test method, and numeric test results can have different meanings in different labs.
Doctor :   D-dimer is recommended as an adjunct test. It should not be the only test used to diagnose a disease or condition.
Doctor :   Yes require follow up
Doctor :   There are other benign conditions where they are elevated, a simple infection can elevate D dimer
Doctor :   If you 'google' out, it can mislead you with dangerous conditions
User :   I am glad not to have a PE, but would rather have that than some underlying malignancy that has yet to be diagnosed. She thinks my pain was either a blood clot or a spinal issue around T-4. But a spinal issue wouldn't explain the elevated d-dimer result?
Doctor :   I would not consider a single elevation of D - dimer to be significant

User :   I have a history in family of strokes at early ages. Mom had stroke at 35 and grandmother had several strokes. "Hardening of the arteries" was what my mother said she had. My Dr. said she may refer me to a blood specialist to look at some congenital blood disorders.
Doctor :   Ok, this is significant risk factor
Doctor :   which can ascertain to rise of D dimer
User :   A risk factor for stroke or cardiac event, or for something else?
Doctor :   I would ask for a repeat D dimer test

Doctor :   Stroke and Cardiac events
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