I have lupus as well as MS and test positive for the AP protein..causes clotting. I take aspirin..AP stands for antiphospholiped.?? You might ask about checking you for AP.
I don't think a low ESR is usually a cause for concern. This may be why your doctor didn't mention it. Labs often differ slightly in their reference normals but it isn't unusual for a normal ESR to be listed as something like 0-20.
The sed rate is a non-specific indicator of inflammation or infection and rises as either process becomes more active. It's a good thing when you have neither raging inside.
There are many tests to check for problems with blood clotting but the ESR isn't one of them. If you think this could be part of your problem there are lots of good reasons to get it checked out. Blood that clots too rapidly can clog the blood vessels and stop flow completely.
I would think someone should be very concerned if your blood is clotting so fast they can't obtain a sample for blood gas testing. In adults, blood gas studies are almost always done using arterial samples. The special collection tube (or syringe) used has a substances in it to stop clotting. Also, since pressure is much higher in arteries than veins, the blood actually 'spurts' and pulses through the needle as soon as it pierces the artery wall. Blood that won't leave an artery would be WAY too thick.
Don't be too casual about that low vitamin D level. See what your doctor wants you to take to bring it up. There are prescription levels of D3 supplement (like 50,000 units per capsule). Vitamin D isn't unimportant just because our bodies usually make it when we're out in the sun.
If you're low on vitamin D (which is in reality a hormone) you won't be absorbing calcium and your bone health will suffer. Besides, vitamin D is vital if your muscles are going to move, your nerves are going to send messages and your immune system is going to fight off invading bad guys. If your levels of vitamin D have been low for a while getting them back into a normal range could actually help you feel better.
Good luck talking to your doc in the morning Amy. I hope I was in time here to save you a little worry.
Mary
Mary, thank you, and yes its in time. When they tried the blood gas it was while I was pregnant with my now 9 yr old. They tried to get it from the artery in my wrist. They tried 3 times before they gave up, talk about a little painful!
They did check my Ap when this all started and its high in the normal range. So maybe its not something I really should be concerned with?
And ya I have had low vitamin d for years. I'm not very good at taking pills so I've never kept up on my meds for vit. D. Guess that's something I'll need to be more consistent about from now on.
Thanks for responding!
Have a happy day!
Amy
Amy, did they do a full "clotting panel" -- looking for factor 5 leiden, factor 12, antiphospholipid antibodies, etc, etc? Hypercoaguability can absolutely cause the same symptoms as MS and if it's even a possibility they should look into it because it's very successfully treated.
Best,
Sadie