Should I go to the clinic for abnormal carbon-13 testing?
Our company recently conducted health check-ups, and the results of the carbon-13 test were abnormal (along with elevated cholesterol and creatine kinase levels)! I researched a lot online and found that an abnormal carbon-13 result indicates a possible infection with Helicobacter pylori.
However, I currently do not have any obvious gastrointestinal symptoms and am unsure if I need to visit an outpatient clinic for treatment.
Additionally, if I do need to see a doctor, which specialty should I consult? Please help clarify my questions.
Thank you.
A Sheng, 30~39 year old female. Ask Date: 2008/12/09
Dr. Sun Yizhen reply Internal Medicine
Hello: You may consider undergoing an upper gastrointestinal endoscopy for further evaluation to determine if eradication therapy is necessary.
Reply Date: 2008/12/09
More Info
When it comes to abnormal Carbon-13 test results, particularly in the context of potential Helicobacter pylori (H. pylori) infection, it is essential to understand the implications of these findings and whether you should seek medical attention. The Carbon-13 test is often used to detect H. pylori, a bacterium that can cause various gastrointestinal issues, including gastritis and peptic ulcers. While your test results indicate an abnormality, the absence of gastrointestinal symptoms does complicate the decision-making process regarding further evaluation and treatment.
Understanding the Carbon-13 Test
The Carbon-13 urea breath test is a non-invasive method used to detect H. pylori infection. When a person with an active H. pylori infection ingests a substance containing urea labeled with Carbon-13, the bacteria metabolize the urea, producing carbon dioxide that can be measured in the breath. An abnormal result suggests the presence of H. pylori, which may warrant further investigation or treatment, especially if the patient exhibits symptoms such as abdominal pain, bloating, nausea, or changes in appetite.
Should You See a Doctor?
Given that your test results are abnormal, it is advisable to consult a healthcare professional, even in the absence of symptoms. While many individuals with H. pylori may remain asymptomatic, the bacterium can lead to significant gastrointestinal complications over time, including chronic gastritis and an increased risk of gastric cancer. Therefore, addressing the abnormal test result proactively is prudent.
Which Specialist to Consult?
For your situation, the most appropriate specialist to see would be a gastroenterologist. Gastroenterologists specialize in disorders of the digestive system, including the stomach and intestines. They can provide a comprehensive evaluation of your condition, discuss the implications of your Carbon-13 test results, and determine whether further diagnostic testing or treatment is necessary.
Additional Considerations
In addition to the Carbon-13 test results, you mentioned elevated cholesterol and creatine phosphokinase (CPK) levels. These findings should also be discussed with your healthcare provider. Elevated cholesterol can increase the risk of cardiovascular diseases, while high CPK levels may indicate muscle damage or other underlying conditions. It is essential to address these abnormalities in conjunction with your gastrointestinal concerns.
Conclusion
In summary, while you may not currently experience gastrointestinal symptoms, the abnormal Carbon-13 test result suggests a potential H. pylori infection that warrants further evaluation. Consulting a gastroenterologist is the best course of action, as they can provide tailored advice and treatment options based on your specific situation. Additionally, do not overlook the importance of discussing your elevated cholesterol and CPK levels, as these may require lifestyle modifications or medical intervention. Taking a proactive approach to your health is always beneficial, and early intervention can prevent more serious complications down the line.
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