Should I get a second opinion?

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New Member

Date Joined Feb 2012
Total Posts : 1
   Posted 2/14/2012 1:42 PM (GMT -6)   

Good afternoon,

I am a new member and I am just so confused.  It all started like this....


A few months back I was in the hospital for a week with acute pancreatitis.  I went for an upper GI about 3 months after my hospital visit.  The only thing they found was severe inflammation of my stomach lining.  I left it at that...then I started getting so immensely tired that I began falling asleep driving home from work.  I decided to go to my GP.  He naturally sent me for blood work.  I do have a low red blood count, low hemoglobin and low hematocrit which all point to Anemia.  I also tested for a positive 1:40 titer ANA test with a Speckled/Homogenous pattern. 


So, I went to my GP today to review my test results.  He completely dismissed me and told me that 5% of the population test positive on the ANA test but are absolutely fine.  I asked him how he could be so sure and he claimed "I just don't feel that there is anything to be concerned about".  I asked him about any correlations between my other symptoms and the positive ANA test and he said "Nothing to worry about...unrelated issues".  Since I like to research, everything that I read about Lupus insists that the symptoms that I am having are INDEED linked to lupus. question is....Should I get a second opinion from a Rheumatologist?  Thank you in advance to all members who can assist me.

Forum Moderator

Date Joined May 2005
Total Posts : 7671
   Posted 2/14/2012 2:56 PM (GMT -6)   
That is a very low (just barely positive) ANA and the symptoms you're presenting match a similar diagnosis, ie anemia. I would work on getting some iron-rich foods into your diet and doing whatever else your Dr may have indicated to address the anemia.

If what you've listed are the only things going on, I have to agree with your Dr, the ANA just isn't significant and I don't think a Rheumy would help any.
Lynnwood, Lupus & Sjogren's Moderator
"Life is far too important to be taken seriously" - Oscar Wilde

Veteran Member

Date Joined Nov 2010
Total Posts : 877
   Posted 2/14/2012 4:28 PM (GMT -6)   
Hello Ana-confusion and welcome to healing well.

I had severe anemia about a year ago and I had the same issues. I could fall asleep at the wheel, standing in line at the grocery store, and I counted the minutes from dinner till bedtime because I was so "tired" all the time. All I wanted to do was go to bed. It took so much effort to do anything. A shower was so physically tiring for me that I would have to lay down a few minutes before I could finish getting dressed. I had whoozy head, balance issues, and brain fog. I just didn't feel well at all.

My doctor told me to take iron suppliments 3 times a day until the next appointment and bloodwork. It took several months to get up to par but just a few weeks for me to see a big difference in how I felt. I have iron deficiency and if I do not take those suppliments (one a day now), I can feel the difference within days.

I would treat the anemia and see how you feel in a few months. If you don't feel any better, make another appointment and let the doctor know then that you think something else may be going on.

take care,

forum moderator/RA

Rheumatoid arthritis, Fibromyalgia, meniscus tears in left knee, Cancer survivor
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