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    What does my lab test report indicate?

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Posted on Fri, 11 Aug 2017 in General Health
Question: Dr. Zotaj Antoneta

Dear Doc, Could you please assist interpret my new test results? Many thanks.Dear Doctor,

Thanks for the swift response, however, below are the additional tests written in Latin:

1. Herpes simplex type 2 IgG - 0.5 nonreac     U/ml      0     20

2. Chlamidia trachomatis IgG-
Liaison Chlamydia trachomatis IgG 5.0 AU / ml / - Negative sample / grain. Values: 9.0 - / = 11 AU / ml positive.

Please let me know in case you still need additional information.

Expecting your swift response.Dear Doc,

Also, you missed Anti-Hep. C
Anti-HCV     0.07     S\CO     0     1     
Anti-HCV Text     Nonreactive          
doctor
Answered by Dr. Antoneta Zotaj 9 hours later
Brief Answer:
All tests are normal and no need for further tests

Detailed Answer:
Hello again,

Thank you for sending the test results again in Latin letters. I am very happy to tell you that all test results are normal.

You are negative for Chlamydia and hepatitis c also which means you don't have those infections either.

Please let me know if anymore questions related to this.

Kind regards,

Antoneta Zotaj, MD
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Antoneta Zotaj 1 hour later
Dear Doctor,

If all these tests are normal and I do not need further test which I quite agree with you because you asked me not to do HIV test again that it would be negative but I did it again and in fact, it is still negative which shows that you are a very professional indeed.

However, below are my questions:
1. What is really wrong with me for the migrating body/joint aching for more than 14 weeks now?
2. Is there any test I need to do again that I have not done?
3. Or do I need to talk to Neurologist about my pain?

Please I need your help as I cannot continue like this.

Many thanks.

doctor
Answered by Dr. Antoneta Zotaj 16 hours later
Brief Answer:
Few other tests might be done, if they are also normal, you need a visit to the psychiatrist for further assistance

Detailed Answer:
Hello,

Thank you for writing back. I apologize for the late response.

It is a normal question to have after having all those normal test results while you still feel the pain in your body.

You seem to have made almost all the needed tests to rule out major conditions.
What I would consider my patients to have done in this case is CBC, ESR, RF, ANA, these are all to rule out Rheumatological causes of joint problems. Also if you are in an area where Lyme disease is a problem than being tested for it might be a good idea.

In some rare cases, gluten in diet might cause body aches also so trying a gluten free diet or rule it out with the test for it might also be considered.

If all come out normal then I would recommend you to see a psychiatrist doctor to check out if anxiety is the cause of your symptoms and how to help with it.

I hope this is helpful and answers your questions but please feel free to write back if any more clarifications are needed on this.

Kind regards,

Antoneta Zotaj, MD
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Antoneta Zotaj 6 hours later
Dear Doctor,

Please find the attachment on the CBC when the issue started on 21.04.2017.

Kindly let me have your feedback on this.

Regards.
doctor
Answered by Dr. Antoneta Zotaj 16 hours later
Brief Answer:
No CBC uploaded yet

Detailed Answer:
Hello again,

I have checked the uploaded images and there is no CBC uploaded. It is again the HIV, HepB, HepC, chlamydia, Syphilis, and thyroid tests which as explained were normal.

Please upload the CBC so I can check it and interpret the result of it.

Kind regards,

Antoneta Zotaj, MD
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Antoneta Zotaj 7 hours later
Dear Doc,

Please find attached the CBC two weeks after the event(08.04.2017).

I would appreciate your swift response on this.

Many thanks.

Regards.
doctor
Answered by Dr. Antoneta Zotaj 15 hours later
Brief Answer:
CBC and inflammation index CRP are normal

Detailed Answer:
Hello again,

Thank you for sending me the test results. CBC and CRP (inflammation index) are within normal limits and this reduces the chances for an inflammatory cause of joint pains. Also, the lack of swelling and redness are a supportive sign of this.

Depending on the area you live if there is any risk of Lyme disease, I would recommend you to have that test. Also, if you have been in an endemic area for Lyme disease recently, it's important to get it done.

Very rarely gluten allergy might cause joint aches and I would consider it if the bowel movement is loose.

If all these tests come out normal, pease be reminded that I would then recommend you to see a counselor and or psychiatrist to see the chance of stress being the cause of your symptoms.

I hope this is helpful but please let me know if any more clarifications needed on this.

Kind regards,

Antoneta Zotaj, MD

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
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Dr. Antoneta Zotaj

General & Family Physician

Practicing since :2004

Answered : 4370 Questions

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