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Male | 54

Is Elevated CA 19-9 Level Cause for Concern?

Hi, I am a healthy 54 year old male. I have been doing some routine annual lab tests near my home, where they do comprehensive labs for check-up. I have been doing it for several years, and everything is basically normal. However, I just received a lab result, CA 19-9, which is elevated (44), normal is below 34. I actually had this lab test CA 19-9 way back in 7/2022, when the level was 12 (normal). Then I had it in annual testing on 9/2023, and it was 25 (but within normal limits). In the past 6-12 months, I have had normal lactate and amylase levels too. Also, all my other blood test from yesterday were normal, including liver function test (and normal bilirubin), normal CBC, normal CEA level, normal amylase, normal sedimentation rate, normal TSH, normal blood chemistry. Of note, I also had a normal DNA stool test (cologuard) 3 years ago. I also had normal FIT stool test 2 months ago, and also last year (twice it was normal). I have no symptoms and no weight loss, and no signs of jaundice. I am not overweight either, and I do not smoke nor drink alcohol. And no one in my family has had cancer before. As I mentioned, this was incidental, but I would like to know your opinion if this is ominous, and next steps. I have schedule a full body MRI scan for next week too. Thank you.

Dr. Samrat Jankar

Surgical Gastroenterologist

Answered on 23rd May '24

An increase in the level of CA 199 causes an alarm. You will get the most thorough examination if you consult a specialist. However, because CA 199 levels can be associated with certain gastrointestinal conditions, you may want to make an appointment with a gastroenterologist as well. 

68 people found this helpful

Questions & Answers on "Gastroenterologyy" (1176)

I was very young around 2 years old when I was diagnosed with inguinal hernia then when I was 6 and half I had a surgery and after sometime hernia reoccurred since then I am living with inguinal hernia size of testicles is enlarged and my penis is short like that of kid

Male | 18

A condition like inguinal he­rnia happens when intestine­ bulges through a weak spot near your tummy. It cause­s pain, swelling, or a lump by your groin. Surgery fixes it some­times. But if hernia returns afte­r surgery, discuss treatment options with your doctor. Enlarge­d testicle and shorter pe­nis might relate to hernia. So, me­ntion these concerns to your he­althcare provider for further solutions.

Answered on 26th June '24

Dr. Samrat Jankar

Dr. Samrat Jankar

I am a 23 year old female who suffer from a bloated tummy that's making sounds I am constipated and I have piles.

Female | 23

You seem to have symptoms of constipation which tighten up your tummy and produce such strange sounds. Piles or hemorrhoids can also contribute to these symptoms. Constipation means that you have a blocked bowel and experienced infrequent bowel movements. Piles are the swollen blood vessels in your bottom area. To remedy, get more fiber in your diet, drink plenty of water, and stay active as suggested. You can also use medicines meant for the external treatment of piles.

Answered on 5th Nov '24

Dr. Samrat Jankar

Dr. Samrat Jankar

I was going through fever this week, after taking proper medical treatment fever gone but after that lose motion get started and now they're also gone but now there is heavy weakness.

Male | 31

You've had such a bad time with fever and diarrhea. Both could be the cause of your weakness later. The fever and the diarrhea ached your body thus, making you feel tired. You must hydrate yourself with water and soup. Light and easily digestible meals should be your priority. 

Answered on 20th Aug '24

Dr. Samrat Jankar

Dr. Samrat Jankar

Di I have to eat anything after taking a reglan pill

Female | 67

Reglan can be taken with or without food. It helps relieve nausea and digestive discomfort by improving your digestive system's function. After taking it, you may feel less hungry temporarily if your symptoms improve.

Answered on 31st July '24

Dr. Samrat Jankar

Dr. Samrat Jankar

I'm worried about my 40-year-old sister who had gastric bypass surgery. Can you provide insights into what to expect or look out for in terms of health issues and care 15 years after gastric bypass?

Female | 40

After gastric bypass surgery, it is necessary to monitor the condition of your sister. She might develop complications like malnutrition, dumping syndrome and hernias. It is advisable to see a gastroenterologist who practices bariatric surgery for regular appointments and tips on healthy living.

Answered on 23rd May '24

Dr. Samrat Jankar

Dr. Samrat Jankar

Hello why do I keep having continuous and intense hiccups for almost three years now

Male | 22

Your diaphragm twitches, re­sulting in hiccups. Many factors could cause persistent hiccups ove­r years. For example acid re­flux, nerve damage, stre­ss. See a doctor, and discover the­ reason. They might recomme­nd lifestyle changes and me­dications. These can help stop hiccups. 

Answered on 26th July '24

Dr. Samrat Jankar

Dr. Samrat Jankar

I started vomiting blood today

Female | 39

Vomiting blood indicates bleeding in your stomach or esophagus. Possible causes include stomach ulcers, esophageal tears, or excessive vomiting. Symptoms may include weakness, dizziness, and stomach pain. Seek emergency treatment immediately for tests and proper care. Do not eat or drink until you are examined.

Answered on 17th Oct '24

Dr. Samrat Jankar

Dr. Samrat Jankar

Contrast Enhanced Computed Tomography of the whole abdomen showing moderate hypatomegaly with coarse attentuation, edematous GB mild dilated portal vein,splenomegaly,diverticulituis in sigmoid colon. Crystitis. My brother suresh kumar's report has been admitted in Maharaja Agrasain Hospital, Punjabi Bagh and the doctor has recommended us for a second opinion. Kindly advise / suggest next course of action if possible.

Male | 44

WhatsApp the report to me

Answered on 8th Aug '24

Dr. Pallab Haldar

Dr. Pallab Haldar

Answered on 23rd May '24

Dr. Samrat Jankar

Dr. Samrat Jankar

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