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Undiagnosed Symptoms  (Expert Forum)
 | 
elevated ana nausea constipation waking at night
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Undiagnosed Symptoms forum are answered by Dr. Kevin Pho. Topics covered include , breathing difficulties, feeling cold, cough, diarrhea, dizziness, fainting, fever, indigestion, itching, nausea, numbness, pain (chronic), paralysis, rash, sweating, swelling, urination problems, and vomiting.

elevated ana nausea constipation waking at night

by TBillT, Feb 19, 2009 09:17PM
My 16-year old daughter came down with a really nasty virus at the start of January, out of school 1 week, mainly nausea and fatigue. Still complains of tiredness (waking often at night), some nausea (no vomiting).  She lost her starting position on basketball team following illness and has been stressed by that. Blood work back today with
ANA of 258 and EOS of 8, CRP and Lyme normal. Everything else in the two blood panels (CBC with differentail platelets and Comp. Metabolic Panel (14) also came back normal). Referred to rhuematologist but can't get in until late April or early May. What are the most likely condiditons (so I can begin researching)? Could elevated ANA still be high from infection a few weeks back?  Could nerves/stress from the basketball setback cause the elevated ANA?  

by Kevin Pho, MD, Feb 20, 2009 08:26AM
I agree with the rheumatology consult.  An elevated ANA level can be due to a variety of causes, including lupus, rheumatoid arthritis.  A viral illness may increase the levels transiently.  

Chronic fatigue in a 16-year old should be investigated for mononucleosis, which can be diagnosed with blood tests.

Stress and/or nerves likely will not affect the ANA level.

These options can be discussed with your personal physician.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin Pho, M.D.
www.kevinmd.com
www.twitter.com/kevinmd
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