[29F] With chronic gastrointestinal issues and systemic symptoms

What might be happening

Based on your symptoms and test results, there are a few potential explanations for what you are experiencing:

1. Autoimmune or Inflammatory Condition: Your elevated immune complexes and C1q binding, along with symptoms like joint pain, skin rashes, and fatigue, could suggest an autoimmune or inflammatory condition. Conditions such as lupus or rheumatoid arthritis can present with these symptoms. Further testing by a healthcare provider, such as specific antibody tests, might be necessary to confirm a diagnosis.

2. Reactive Gastropathy and Duodenal Intraepithelial Lymphocytosis: These findings from your colonoscopy suggest inflammation in your stomach and small intestine. This could be related to your chronic stomach issues and might be associated with conditions like celiac disease or other forms of gastritis. A gastroenterologist might recommend dietary changes or medications to manage these symptoms.

3. Vitamin D Deficiency: Low vitamin D levels can contribute to fatigue and bone pain. Your current supplementation should help, but it may take time to see improvements. Regular monitoring of your vitamin D levels can help ensure they return to normal.

4. High Platelets: Elevated platelet counts can occur due to inflammation, infection, or other underlying conditions. It's important to follow up with your healthcare provider to determine the cause and whether any treatment is needed.

What you can do

Autoimmune or Inflammatory Condition:

• Schedule an appointment with a rheumatologist or your primary care provider to discuss your symptoms and test results. They may recommend additional tests or treatments.
• Keep a journal of your symptoms using MDandMe to track any patterns or triggers, which can be helpful for your healthcare provider.

Gastrointestinal Issues:

• Follow any dietary recommendations provided by your gastroenterologist, such as avoiding gluten if celiac disease is suspected.
• Consider keeping a food diary to identify any foods that worsen your symptoms.
• Stay hydrated and maintain a balanced diet to support your digestive health.

Vitamin D Deficiency:

• Continue taking your vitamin D supplement as prescribed.
• Spend some time in sunlight each day, if possible, to help boost your vitamin D levels naturally.

General Health:

• Ensure you get adequate rest and manage stress, as these can impact your overall health and well-being.
• Regular follow-ups with your healthcare provider are important to monitor your condition and adjust treatments as needed.

What you should look out for

• If you experience any new or worsening symptoms, such as severe joint pain, persistent fever, or significant changes in your digestive symptoms, seek medical attention promptly.
• Be aware of any signs of infection, especially given your recent history of cellulitis, and contact your healthcare provider if you notice any concerning symptoms.
• Keep track of any side effects from your medications and discuss them with your healthcare provider.

Remember, while this information can help guide you, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.