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I just got my lab test... ANA positive first test titer

Hi.. I just got...

Hi.. I just got my lab test... ANA positive first test titer 1:320 and 2nd test are 1:100

Doctor's Assistant: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)?

And my ANA profile RNP/Sm positive and Control (Co) strong positive

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I've been experiencing joint pain and muscle pain, headache, gastric so bad everyday, fatique, diarhea

Doctor's Assistant: Is the headache episodic or daily? And what about nausea?

Nausea too almost daily

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Answered in 6 minutes by:
3/12/2018
Dr. David
Dr. David, Board Certified Physician
Category: Medical
Satisfied Customers: 49,198
Experience: Experienced Physician trained in New York City. I'm ready to help.
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Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.

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Customer reply replied 1 month ago
Hi Dr David

how old are you?

are you male or female

these are blood screening tests to look for possible signs of an autoimmune disorder which means your body's immune system is making antibodies which are attacking your own cells

you need to see a rhuematology doctor

and get more testing

antibodies to double-stranded DNA (anti-dsDNA) tests,
antibodies to histone tests,
antibodies to phospholipids,
antibodies to Ro/SS-A and La/SS-B,
antibodies to Sm target Sm proteins in the cell nucleus,
antibodies to RNP target ribonucleoproteins

rheumatoid factor and anti-cyclic citrullinated peptide (anti-CCP) antibodies.

to see what disease you may have. you could have rheumatoid arthritis or lupus or another autoimmune condition.

let me know if you have questions.

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Customer reply replied 1 month ago
I am 40 years old, female
anto DsDNA are negatif
Customer reply replied 1 month ago
wait, let me send u the file

Antibodies to Sm are highly specific for systemic lupus erythematosus (SLE) and when present are considered a marker antibody. However, these antibodies are found in only 20% of patients with SLE

you may have lupus

have you consulted with a rheumatology doctor yet?

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Customer reply replied 1 month ago
I have consulted to 3 doctor that familiar with lupus
but each doctor have different result
1st doctor confirm lupus
2nd doctor said sjogren syndrom
3rd doctor said my gastric are gonna explode but probably not lupus
4th doctor are eye doctor said there's no sign of sjogren yet
Customer reply replied 1 month ago
The last test result, I haven't meet any of the doctor because I'm confuse where to go
Customer reply replied 1 month ago
Btw I'm in Indonesia as Asia

I see.

autoimmune conditions can be difficult to diagnose

some patients can go 1-2 years of testing before being diagnosed.

many times, doctors have to see if patient's symptoms get bad enough to get treatment. treatment will entail immune suppression with steroids or mild chemotherapy agents. to help your symptoms.

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Customer reply replied 1 month ago
I've been trying to send the file but hard
Customer reply replied 1 month ago
Have you received the file?
Customer reply replied 1 month ago
This is my first lab result
Customer reply replied 1 month ago
Can you give me suggestion of your opinion please?
Customer reply replied 1 month ago
sorry cannot make a call... Bad signal here
Customer reply replied 1 month ago
Hellow can you give me advice please

your testing could be from mix connective tissue disorder or lupus or sjorgren's possibly

do you have bad dry eyes, dry nose, dry mouth symptoms?

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it sounds like your symptoms are not likely due to MCTD

have you tried stomach acid reducers to help your gastric symptoms

you may need to cut out gluten and white flour to help your diarrhea symptoms

you should see a GI doctor to get a colonoscopy and biopsy of your colon

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Customer reply replied 1 month ago
I have very dry eyes, mouth

then you could have sjorgren's syndrome most likely

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Customer reply replied 1 month ago
it was not lupus?
Customer reply replied 1 month ago
Because the most bad symthomps are bad joint keep acking everyday
Customer reply replied 1 month ago
But One's I ever experiencing like a heart attack but the doctor said probably GERD

you may have lupus possibly

these autoimmune disorders are not always so clear cut.

bad acid reflux can cause severe chest pains and esophageal spasms

you may need stomach acid reducing medications like omeprazole or ranitidine to help decrease stomach acid

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avoiding spicy foods, alcohol, fried foods, tomato sauces, oily foods, black pepper, sodas can help decrease stomach acid as well

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Customer reply replied 1 month ago
Ow thank you so much... meaning I still have to go to lupus doctor and GI doctor ?

rheumatology doctors are the ones who treat lupus and autoimmune disorders.

yes, you should also see a GI doctor if you continue to have watery diarrhea

you may need anti-diarrhea medications

and stool testing for infection

and a colonoscopy

Let me know if you have other questions.
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Dr. David
Dr. David, Board Certified Physician
Category: Medical
Satisfied Customers: 49,198
Experience: Experienced Physician trained in New York City. I'm ready to help.
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Customer reply replied 1 month ago
Thank you so much doctor for your suggestion and help... I will surely give 5 star.

thanks

thanks for using JustAnswer.com

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