instruction: hello doctor my dime is getting higher from 5 to 9 within the last four months my heart has been checked and I had a chest ray it of heart aorta abdomen and pelvic floor and doppler of my legs all are clear blood work is normal apart from dime and reactive protein which is 12 my what can it be
output: hello following is my opinion about your asked question dime is usually elevated in some thrombotic events in the body like dic disseminated intravascular coagulation deep vein thrombosis or pulmonary embolism but your it chest and doppler leg are normal as per history so pulmonary embolism and dot can be excluded the other causes for elevated dime can be liver disease heart disease inflammation post surgery and pregnancy as well your heart is normal as per history so heart disease can be excluded you can rule out the liver disease by sept serum glutamic pyearuvic transaminase got serum glutamic oxaloacetic transaminase and serum protein estimation if you have pregnancy or surgery history than it can be the cause it prothrombin time put partial thromboplastin time and coagulation profile can be planned by your doctor if dime remains persistently high kindly attach your report to give further comments if possible