<s>[INST] My husband who is 43 has been experiencing a host of unusual symptoms for the past 6 weeks. Tingling in head and arms, tightness in head, neck, and chest, insomnia, loss of appetite, high anxiety, frequent belching, sore throat, inflamed and sometimes swollen tongue, and a slight cough. A blood test showed elevated d-dimer. Chest x-ray is clear and CT scan shows no embulisms. What else could be causing these symptoms? I think it might be his wisdom teeth even though he doesn t have any tooth pain. [/INST] Hello, There is all possibility of underlying calculus in the urinary tract either kidney or ureter giving rise to all misery. Elevated D dimer with these range of symptoms indicates the presence of DIC (disseminated intravascular coagulation) or VOTE (venous thromboembolism) but not the wisdom teeth. He requires intensive phase treatment with a work-up team of hematologists and expert physician and euro physician as well. Hope I have answered your query. Let me know if I can assist you further. </s>