What causes raised D dimer? - Online Doctor Chats
Three years ago I had a high d-dimer result, lung CT was done, it was negative. Christmas day 2013 went to ER because of dizziness. D-dimer was high again, another lung CT negative. A week ago I went to urgent care because of some pain in my chest. Cardiac panel showed high d-dimer again!!!! Doctor freaks out, sends to the ER, the ER doc sends me home because he said it was the same as it was in Dec., and no blood clot then. Went to urgent care again, still worried about pain in chest (I am now realizing it was probably pulled muscles.) That dr. is freaking out about the high d-dimer. I told him what I just told you. He ordered an RA test. It was negative. So, I will tell you I have had chronic back pain for 15 years. Is inflammation from this kind of pain enough to cause a high d-dimer? I take Arthrotec and wellbutrin for medications. Could medications cause a high result? I plan to call the latest urgent care dr. and the ER doc and see what they think it is before my visit to my regular doctor. How common is a high d-dimer result when there is nothing wrong? Is my chronic pain the cause of the high d-dimer? I am just looking for a few different opinions. Thank you.
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D dimer is raised in many conditions
But there are many benign condition that can cause a high d dimer
These conditions include surgery, trauma, infection, pregnancy, liver issues, etc
Sometimes it may be falsely positive
Chronic pain can also cause high d-dimer levels
Do you have any doubts here?
I do not have any of the above condition that you mentioned, except the chronic pain. I have been reading that cancers can cause a high d-dimer or heart disease. I just don't what if any, other tests should be done on me.
Looking at your age, you can go for some screening tests for some common cancers
Otherwise you do not need to be checked for cancers just because d-dimers are high
I had a colonoscopy last August, it was normal. I had a mammogram in Sept., also normal. Going for a breast MRI because my sister had breast cancer so dr. suggested that every 6 months, mammogram and MRI. Paps have been negative
So you are mostly in great health
except for some back pain and raised d-dimer
Do you have any doubts here?
The chronic pain keeps me from getting enough exercise. Yes, darn d-dimer, just wish I knew what it meant, if it means anything. The urgent care dr. is one I really like and he was concerned. He really thought the RA test would be positive but it wasn't.
Have you gotten liver function tests recently like sgot, sgpt, serum bilirubin
No I don't think so
It alone does not mean anything unless you have some other issues with it
Since d-dimer is excreted by liver it can be done
It is part of routine blood tests
Otherwise I dont think there is much to worry
O.K. So some people just have a high d-dimer and it doesn't mean anything?
O.K., thank you, this helps! Have a great day!
Thanks for coming on chat
You too have a great time
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