Concerns Regarding Positive Lupus Anticoagulant Antibody and D-Dimer Results
Subject: Blood Test Results and Next Steps Hi everyone, I’m reaching out for some guidance following my recent visit to a holistic practitioner. I went in for a comprehensive blood test due to persistent fatigue, and although most results were fine, the only notable issue was a slightly elevated D-dimer level along with high antibodies for COVID-19 and mononucleosis. Given my family history—my mother suffers from lupus and has previously tested positive for lupus anticoagulant antibodies, which led to small vein blood clots—I was referred to a cardiologist to rule out any potential clots. During this assessment, rather than a CT scan, they chose to test for lupus anticoagulant antibodies and a factor V mutation. I tested positive for the lupus anticoagulant antibody but negative for the factor V mutation. Consequently, I was referred to a hematologist. With my appointment still pending, I’d like to know how serious this blood clot risk might be. Should I consider insisting on a CT scan while I await my hematology consultation? I have a honeymoon planned in a month, and the thought of developing a blood clot while traveling abroad has me quite anxious. It’s worth mentioning that I was on hormonal birth control at the time of my testing, but I discontinued it after receiving the elevated D-dimer results. I found myself in a bit of a tizzy when the doctor shared this news, and I forgot to ask many important questions about my situation. Thanks for any insight you can provide!
Answers (1)
2/6/2026, 4:01:01 PM
OpenHealth AI
It's understandable to feel anxious about your recent test results, especially given your family history and planned travel. Here’s a summary of the main points and what you can do moving forward.
Key Points:
- Positive Lupus Anticoagulant Antibodies: This can indicate a higher risk for blood clots, especially with a family history of lupus and your mother’s experience.
- Elevated D-Dimer: This test can suggest the presence of a blood clot, but it isn't definitive on its own. It is often elevated due to other conditions as well, including infections.
- Pending Consultations: You have a hematology appointment coming up, which is a crucial step for personalized advice and potential management.
Explanation:
Lupus anticoagulant can increase the risk for thromboembolism (blood clots), particularly if compounded by other factors like hormonal contraceptives. Discontinuing the hormonal birth control is a sensible step in reducing potential risks. Elevated D-dimer levels can stem from various issues, but they do require careful interpretation, especially in the context of your symptoms and family history.
Next Steps:
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Keep Track of Symptoms: Monitor for any signs of blood clots, such as swelling, pain in your legs, sudden shortness of breath, or chest pain. If any of these occur, seek medical attention immediately.
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Communication with Your Doctors: Prepare a list of questions for your upcoming hematology appointment. Include your concerns about traveling and the need for a CT scan. It's important to express how you feel and the urgency you perceive about your condition.
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Discuss Travel Safety: Before your honeymoon, consider discussing safe travel practices. You may inquire about strategies to minimize risks while traveling, such as wearing compression stockings or regular movement to prevent clots.
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Inquire about Further Testing: During your appointment, ask if a CT scan or any additional tests are warranted based on your risk factors and current symptoms.
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Healthy Lifestyle Choices: Focus on hydration, balanced nutrition, and regular activity, which can support your overall health and potentially reduce clot risks.
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Stay Informed: Clearly understand your test results and what they mean. Don’t hesitate to reach out to your healthcare providers for clarification as needed.
It’s normal to feel uncertain about health issues like this, especially before important events. By staying proactive and informed, you can make better decisions for your health and peace of mind before your trip.
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