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Blood Results/Any Suggestions??

Have any Suggestions What to do Next  Nuero's P.A. advised this  One test is of no concern at this time.




Antiproteinase 3 (PR-3) Abs             6.4                    High                         0.0-3.5


September 2008

Present Time: Still having minor AB and Chest Pains, Back of the head numbing and brain freeze/tingling, seems to have also moved to my face and jaw area, seem to be having some balance issues not always but does happen.  Minor back pains, Brain Fog just seem to be out of it. Vision appears to be worse/blurry up close, (have been to eye doc no change)  Still tired but not as severe as early in the year, periodical a stopped up head feeling and very minor pain in and around ears. There are no factors that seem to change the above it can be morning or evening seem to progress as the day goes on.  Do not have all symptoms at the same time but have some of them everyday.

                                                      History

I am 47 years of age 6 FT-190 pounds, weekend beer drinker and a reformed smoker (quit in Jan 07) Up to Dec 07 NO health problems, had probable been to a Doctors Office 10 times total in my life.  In Dec 07 I was on a business trip in San Antonio, Tx when I began experiencing symptoms (all of a sudden like someone flipped a switch) that included the following. Chest Pains and Burning (felt hot to the touch) Back of the head numbing and what felt like an Ice Cream brain freeze.  I also had this out of it feeling like a BRAIN FOG.  Not wanting to have a problem in another town, I left and returned home 7 hours away.  My wife drove me to a clinic where I was put on a EKG machine and the clinic Doc advised all ok gave me some Meclizine put me back on Prevacid (which I had been on years earlier) for Acid reflux and sent me on my way.  At this time I did not have a Primary Doc and made an appointment with one.  This doc did Complete Labs, and found nothing but elevated EBV numbers.  Doc advised would look at numbers again in 30 days due to this being a Virus there was nothing else to do but Time also gave me some sinus sprays.  This was a REALLY BAD time from the months of Jan-May I felt terrible, Chest Pains which really had me concerned, TIRED all the time could not wait to get to the bed or couch, loss of appetite, cold all the time, Dizzy/Lightheaded, back of the head pain(really bad that a aspirin would not help) , AB Pains, Irregular Bowel movements (still everyday but not as much product), Facial numbness/tingling, Brain Fog, Did not want to do anything.  These was of great concern and due to not EVER having medical issues I returned several times to my family doctor and the following are the test and medications I have been on during this experience.

Test:
Blood Test-X 5   CBC, Comprehensive Metabolic Panel, Lipid, PSA, TSH, Lyme, HEP Panel, HIV Panel, Rheumatoid Arth. Factor, Sedimentation Rate-Westergren, EBV Panel, B-12, Alpha Fetoprotein Serum, H. Pylori. From the months of Jan08 to the last one Sept08

Results:  With exception of EBV numbers (which all Docs say is no longer a concern) and up and down Cholesterol LDL sometimes a little high--- ALL NORMAL

XRAYS and CT SCANS--  MRI-(April08)  Brain(Normal) and C-Spine-(May08) (see results under other)

CT scan Heart (Feb08) and Abdominal (June08 Prior to Colonoscopy) ---All Normal

Chest X-ray X 2    (June 08) this one remarked a few calcified granulomas are present. The Second (April08) listed Brocades otherwise No acute Cardio disease identified.

Colonoscopy and Endoscopy (June08) —Acid Reflux No other problems identified

ENT exam (Sept 08) - All Normal

Full Cardio Work-up (Feb08) Echo and CT scan, Carotid Artery Ultrasound- All Normal

Medications: That I am currently using—Prevacid, (Acid Reflux) Dicyclomine spastic colon-(only three times did not like side effects) some natural meds by Dr. Jernigan’s Borrelogen, Nutrametrix-OPC, Fish Oil Tablets.  

Other: C-spine Impression: Neural Foraminal caliber is low normal or mildly narrowed throughout the cervical spine. This appears to be the result on congenital factors as I see no evidence of facet or uncovertebral hypertrophy.  Disc morphology is well maintained, as is spinal canal diameter.  Have also seen an Infectious Disease Dr. and a Second M.D.


Blood Results,


ANCA Panel
Antimyeloperoxidase (MPO) Abs

                                                   <9.0                                                    0.0-9.0

Antiproteinase 3 (PR-3) Abs             6.4                    High                         0.0-3.5 ***********************************

Cytoplasmic (C-ANCA)                    <1.20                                                NEG

Perinuclear   (P-ANCA)                     <1.20                                               NEG


Note:The presence of positive fluorescence exhibiting p-anca or c-anca patterns alone is not specific for diagnosis of Wegeners. or microscopic poloangiitis.  Decesions about treatment should not be used solely on ANCA IFA results.  As many as 5% serum samples are positive only by EIA,  Follow up testing may be recommended.

Atypical P-ANCA                       <1.20                                                          NEG



Lupus Panel         ALL    NEG   To many to List   all in Range


Basic Metabolic Panel (8)   All Good

Bun
Sod
Potass.
Chlorie
Carbon Dio
Calcium       (Low)

NMO-IgG Serum                          NEG
10 Responses
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Avatar universal
Set up with a Rhemmy hope to get some answers
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Avatar universal
Long and short of it Primary advised "We just dont Know"  will try to send you to a specialist.
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Avatar universal
Thank you for responding, this was the first time my CA dipped below the Normal after a year of every three or four months of blood test.  My nuero seems to think this may be due to the meds, but I just had another complete round of panels taken awaiting results now.  I have not explored the disoreders yet that cause low CA will talk with primary about that on WED.  
Helpful - 0
665125 tn?1273023924
Your calcium level being 7.2 is actually quiet low, low enough for you to have symptoms and be concerned....

In Oct I had a Thyroidectomy, I was kept in the hospital for an extra two days because my calcium was 7.3.  While in the hospital I was taking 1000mg of calcium 3x's per day, and my calcium levels were being checked every 2 hours.  When my calcium level had reached 7.8 my doctor was still concerned but let me make the choice to go home or stay in the hospital another day.  

Well, I chose to go home and then two days later I ended up in the ER, for symptoms of low calcium and slightly low patassium.  The ER doctor told me that I could take all of the calcium in the world and with out taking Calsitrol with the calcium supplement I could not absorb it.

Anyways, there are various disorders that cause low-calcium.  If I were you, I would talk to my doctor about it, for low-calcium can be dangerous.

Good Luck!   Sonflower
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Avatar universal
Nuero P.A. advised 90 day follow-up would increase Topamax could not rule out MS but until and if it shows on a MRI nothing to do,  see you in 90 days what a bummer
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Avatar universal
F.Y.I.  My Primary's Nurse Called Me   My Doc wants me to go and see a Rheumatologist----Bad new appointment is not until end of FEB 09
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Avatar universal
First blood test that it came back low was 7.2 I think  scale is 8.0-9.5  so not very low
Helpful - 0
665125 tn?1273023924
How low is your "Calcium Level" I too had the majority of the symptoms that you have listed.....

I am post-opp 6 weeks for a Complete Thyroidectomy.  While the ENT surgeon was separating one of the four Parathyroid Grands from my Thyroid, a surprise tumor was discovered.  This tumor is rare only 42 people of over 100,000 have it.

Anyways, this tumor causes the gland to be hyper-calcium, and then the other remaining glands go to sleep, for they are no longer needed.  After the gland w/tumor were removed, I now am struggling with "Low Calcium" while waiting for the remaining glands to wake up and begin functioning again.

I now taking 1000mg of Calcium 3x's per day, with 1 Calcitriol 0.25mcg  2x's per day, which helps the Calcium supplement to absorb.

Maybe your Parathyroid Glands and/or Thyroid labs need checked....

Good Luck!  Sonflower

Helpful - 0
Avatar universal
I Think so the Gastro was sure to say checked you from Stem to Stern no Problems I know he did the H. Pylori as well
Helpful - 0
605522 tn?1220131803
Did they do the celaic panel tests Padro?  You have some symptoms that are celiac related.  The docs were probably thinking of that when they did the endoscopy, earlier.  But  it is sometimes missed in the endoscopy test also, more so during the early stages.
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