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Ask Nadim Al-Mubarak Your Own Question
Nadim Al-Mubarak
Nadim Al-Mubarak, Doctor
Category: Medical
Satisfied Customers: 379
Experience:  MD at University Hospital Case Medical Center
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I have a question, I went to the ER last weekend and had an

Customer Question

Hi I have a question
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: I went to the ER last weekend and had an elevated d dimer minimally at .69 when cut off is .5
JA: Anything else in your medical history you think the doctor should know?
Customer: I had a cat scan done and came back negative my right leg is now feeling eierd
JA: What seems to make the symptoms worse or better? Have you noticed any swelling?
Customer: Is this a real peeson
JA: I'm the Doctor's Assistant. I work with them to help customers like you.
Customer: Hi I went to the ER last week for my chest feeling tight and my breathing feeling off. I had a complete cardiac work up in June and also visited an asthma specialist this past week. Both found nothing except pvcs which were considered benign. At the ER they ran a d dimer test which showed up as minimally postive at .69 where cut off is .5 they ran a cat scan with contrast which was negative. Now on Thursday night I started to notice my right leg feeling heavy and pressurey. The lower half of my leg (feels tired). I am also getting random goose bumps on only my right leg. I have driven a lot the past three days much more then I'm used to and have also slept on a couch the past three days. My right foot also feels colder. And I have a sore spot on my lower back on the right side. Should I chalk these feelings up to anxiety and driving a lot or do I need to be concerned? I am 28 and am otherwise healthy and not over weight
Submitted: 1 year ago.
Category: Medical
Expert:  Nadim Al-Mubarak replied 1 year ago.


  • I understand you are concerned about a clot in your leg given the abnormal D-Dimer. When there is an acute clot in the leg, the D-dimer is typically elevated, and therefore it is used as an initial screening tool for clots of the leg and the lung, before resorting to the more expensive tests (CT-scan or US)
  • However, when there is an Acute Clot in the leg (DVT), the D-Dimer is typically markedly elevated, NOT minimally elevated. I treat DVT and PE all the times, and I have not seen any of these two with just minimal elevation.
  • Driving long distance, classically regarded as a risk factor for DVT, is one of the medical myths and has never been scientifically proven. On the contrary, the evidence is against it being a risk factor. The rest of your symptoms are not specific to DVT
  • On that basis, we know you do not have a PE, and based on the information you provided, it is unlikely that you have DVT.
  • For your reassurance, you can have a Venous US done through your family doctor. It will assess the presence/absence of DVT

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Expert:  Nadim Al-Mubarak replied 1 year ago.

Let me know if you have any more questions