YOU WROTE:
List of other diseases, conditions, or
injuries and their treatment: Hashimotos,
Sicca symptoms, gastric parietal cell
antibodies. Post void dribbling (no
diagnosis)
Current medical status: LFT's keep coming
back high GGT 110 - 270 other LFT's OK
Ultrasound clear/normal for abdomen (liver
kidneys prostate pancreas) AMA Negative
ANA Negative ENA Negative EBV - IgG past
infection Hepatitis A Neg Hepatitis B
surface antibody titre <10 Hepatitis C
Neg Smooth Muscle Antibody Neg CRP Normal
ESR Normal Toxoplasma IgG- Past infection
Gene Marker HLA-B27 Positive Pca PSA 0.4
Celiac Serology IgA 3.37 range 0.7-4 New
Gliadin Iga 6 range >20 New tTG Iga
<3 range >20
Current medical treatment: Thyroid
replacment for hashimoto's
1. AST, ALT, gama-GT and alcal phosphatise
(AP) are enzyme markers for liver damage.
If liver damage is present, you should
also examine the liver for bilirubin
(direct and indirect), and serological
markers for hepatitis A, B and C
(Anti-HAV, HBsAg and Anti-HCV). It seems
that you completed the Anti-HBs serology
requirement but you didn’t complete the
HBs-Ag serology!
2. Alcal phospatase is also a marker for
bone damaging- osteolysis.
3. Acid phosphatise and prostate specific
antigen (PSA) are markers for prostate
inflammation or tumor.
4. Blood lipase and alpha-amylase are
markers for pancreatic damage.
You'll also need to request laboratory
diagnostics for blood count and
haemoglobin to exclude anemia. Finally,
you may also need to perform a gastroscopy
to exclude chronic gastritis as a possible
diagnosis because gastric parietal cells
antibodies have been detected. You can
consult an internal medicine specialist
about your condition.
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