64 yo healthy female with no heart disease, nonsmoker, no history of clots. ?htn. Hx of chronic pain. Recently on mobic 15mg daily for several weeks. To er with eoigastric pain, belching, nasusea, vomiting. Neg EKG. Neg cxr. Relief of nausea with zofran. 80 percent relief with GI cocktail. Positive d dimer (3.05). No sob. No dyspnea. No tachycardia. Is spiral ct necessary?
Hi ! Good morning. I am Chat Doctor answering your query. Even though D Dimer test could also be elevated in some other situation (like an arthritis with chronic pain as in your case) as well, I would advise you to go with your doctors' advice for a spiral CT to rule out any other likely source to prevent any serious problem. Till then, you could go for a proton pump inhibitor Chat Doctor.  At the same time, I would also advise you to get your routine blood check up done like a CBC, ESR, RA factor, serum uric acid, serum lipid profile, blood urea, and serum creatinine. Further management would depend on the reports of investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.