Common Specialities
Common Issues
Common Treatments


Immunoglobulin D (Serum) Test

Immunoglobulin D (Serum) Test

also known as: Quantitative Immunoglobulin D

An immunoglobulin test is performed to measure the level of antibodies in the blood. Immunoglobulins, also known as antibodies are proteins made by the immune system to fight various bacteria, viruses, and toxins. Mainly, there are five types of immunoglobulins namely IgA, IgD, IgE, IgM, and IgG. IgD is mostly found on the surface of special immune cells called B-cells, regulating the B-cell function. The immunoglobulin D blood test helps determine the level of IgD in blood. It helps diagnose immune deficiencies in the body. In some cases, a sample of cerebrospinal fluid (CSF) is collected by a lab technician from the lower back using a lumbar puncture or a spinal tap.

For this test, no special preparation is required. You can get your blood test done with normal food intake. You can prefer to wear a sleeveless shirt or a loose full sleeve shirt which can be folded easily at the time of the test.

The significance of the Immunoglobulin D Blood Test result as explained above is to detect the level of IgD in the blood. Advised value should be < or =10 mg/dL A high value (greater than 15.3 mg/dL) for the test may indicate:
    • Multiple myeloma
    • Monoclonal gammopathy of unknown significance (MGUS)
    • Chronic infection
    • Autoimmune disease
    • Acute viral hepatitis
    • Chronic obstructive pulmonary disease

    A low value for the test may indicate:

    • Hereditary deficiencies
    • Non-IgD myeloma

  • Blood test A band is wrapped around the arm, preferably near the elbow pit such that vein is clearly seen The area is cleaned with 70% alcohol The needle is inserted into the visible vein causing a small prick and the required amount of blood sample is collected The collected blood is transferred into the blood container from the nozzle and the syringe is hygienically disposed immediately Cerebrospinal Fluid - CSF In case of CSF, you are advised to sit with your back straight on a table or lying on either side with your knees folded towards the chest The technician will initially inject you a painkiller to numb the pain while the test Further, the technician will insert a hollow needle between the two vertebrae and remove some cerebral fluid to test

    1 mL
    Red-top tube or gel-barrier tube.
    Type Gender Age-Group Value
    Immunoglobulin D
    All age groups
    Average price range of the test is between Rs.6300 to Rs.6300 depending on the factors of city, quality and availablity.

    Table of Content

    What is Immunoglobulin D (Serum) Test?
    Preparation for Immunoglobulin D (Serum) Test
    Uses of Immunoglobulin D (Serum) Test
    Procedure for Immunoglobulin D (Serum) Test
    Specimen Requirements
    Normal values for Immunoglobulin D (Serum) Test
    Price for Immunoglobulin D (Serum) Test
    Lybrate Gaurantee
    Lybrate Gaurantee

    Popular Questions & Answers

    Dr. my mother has got high microalbumin 972/mg and now the creatinine is 1.6 and blood urea is 47. Hdl n ldl is just up to the mark but triglycerides are very high 572. If she takes the medicine calcigard retard then she has her ankle swelling also. She is taking it without any break. Please guide how she can lower both her albumin and triglycerides. She got bp. But its under control 135/80. Please help to lower both the things.

    MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
    Cardiologist, Ghaziabad
    Dr. my mother has got high microalbumin 972/mg and now the creatinine is 1.6 and blood urea is 47. Hdl n ldl is just ...
    Micro albumin urea and high serum creatinine suggest the onset of nephropathy which is kidney dysfunction which might be a complication of chronic high blood pressure you also have high triglycerides so I am assuming your cholesterol and LDL might as well be little hai but you are already taking medications for them as well as for Hypertension so what you need is to understand the concept of hypertension and high cholesterol and try and keep them strictly under control with regular monitoring and keeping a record also you need to check out the risk factors like diabetes prediabetes and environmental factors like dust and smoking if any. Many factors can affect blood pressure, including: 1) The amount of water and salt you have in your body 2) The condition of your kidneys, nervous system, or blood vessels 3) Your hormone levels You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up. High blood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death. My advice to you would be 1) Keep a BP daily record for at least one week 2) Basic tests should be one to rule out latent cardiac issues and signs of other complications 3) unless any recent evaluation has been done I would advice these test ECG ECHO TMT Lipid profile TSH Fundoscopy Usg KUB high LDL high cholesterol put you on a higher risk of atherosclerotic diseases and heart attacks especially if you have other is factors including hypertension diabetes or a history of smoking so I would advise you to start taking statins which are cholesterol medications the doors of which depends upon your cholesterol levels also you need to start changing your dietary habits and include a regular physical exercise at least 45 minutes a day 5 days a week into your schedule nonetheless you have to stop taking fatty and junk food good luck.
    3 people found this helpful

    I am 20 years old. I am suffering from female pattern hair loss. And I have thinning hair. Please tell me any serum cream for hair growth for thick hair to grow fast. Please.

    Bachelor of Ayurveda, Medicine and Surgery (BAMS)
    Ayurvedic Doctor, Varanasi
    I am 20 years old. I am suffering from female pattern hair loss. And I have thinning hair. Please tell me any serum c...
    Take protein rich diet eat leafy vegetables do bhraamarii Pranayam don't apply cosmetic products as these can spoil your hairs eat 10 g of roasted hareetaki powder with jaggery early morning with luke warm water good luck have a great day.
    3 people found this helpful

    I am 26 years old. My weight is 62 kgs .My height is 5.3. I have extremely dry skin on my hands, legs and toes. Can I eat vitamin E tablets for it? Is there any permanent solution to cure my dry skin? I tried applying oil but the result is very slow.

    MBBS, P. G. Diploma in Dermatology Venerology & Leprosy (D. D. V. L )
    Dermatologist, Moga
    I am 26 years old. My weight is 62 kgs .My height is 5.3. I have extremely dry skin on my hands, legs and toes. Can I...
    Drink lots of water and eat Salad n Fruits avoid using oily n sugary foods and drinks, Apply good MOISTURIZER after bath, reduce intake of tea and coffee
    1 person found this helpful

    I have 4 stone in my left kidney. 12,13,15,17 size of stone in mm. And I have already a kidney surgery for stone illness before one year ago. But I have facing the same problem again.

    DHMS (Diploma in Homeopathic Medicine and Surgery)
    Homeopath, Delhi
    I have 4 stone in my left kidney. 12,13,15,17 size of stone in mm. And I have already a kidney surgery for stone illn...
    kidney stones can be cured with medicines which are combination of herbal and homeo. We have specialized medicines for pain attacks named as emergency drops. Kidney stones can be cured with our medicines only you don't need to undergo surgery or operations. I will suggest you to avoid surgery there is no need of it. You need to take medicines that can help in removing them naturally such as our medicines combination of herbal and homeo that will help in removing stones. Kidney gets diseased due to an unhealthy diet and lifestyle. A kidney stone is a hard mass developed from crystals that separate from the urine within the urinary tract. Normally, urine contains chemicals that prevent or inhibit the crystals from forming.If the crystals remain tiny enough, they will travel through the urinary tract and pass out of the body in the urine without being noticed. You can connect with me and I will provide you with treatment by which you will be getting cured with kidney stones naturally. The medicines are combination of herbal and homeopathic only.
    1 person found this helpful

    Hi. I am feeling nausea and dizziness since 2-3 days. And also have some white discharge since 10-12 days. Some abdominal pain and back ache also occurs sometimes. My last period was on 5th July. I am 1 year married now. And have sex 2-3 times a week. Are these signs of pregnancy. Can pregnancy check be done before period date.

    Diploma in Obstetrics & Gynaecology, MBBS
    General Physician, Delhi
    Hi. I am feeling nausea and dizziness since 2-3 days. And also have some white discharge since 10-12 days. Some abdom...
    Gastric changes need not be due to pregnancy only urine test will be positive after skipping the periods if you have a regular cycle you can get tested for beta hcg hormone which is positive only when the woman is pregnant or implantation has taken place.

    Popular Health Tips

    Health Benefits Of Ghee!

    M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
    Dietitian/Nutritionist, Mumbai
    Health Benefits Of Ghee!

    Ghee has lost its glory. In-spite of being a saturated fat, ghee has shown to reduce both serum and intestinal cholesterol by triggering secretion of billiard lipids.
     Reasons to consume ghee in your diet:
    1. Ghee is also called as clarified butter. It’s short chain fatty acid structure imparts lipolysis properties which helps in breaking down the fat itself.
    2. It’s antibacterial and antiviral properties makes it a perfect immune booster.

    3. It has that anti ageing and anti wrinkle effect that even the costliest of cosmetic product can’t have
    4. Since ancient times, ayurveda considers ghee to promote learning and memory retention
    5. Excellent for joint health as ghee gives lubrication and strength to them
    6. Ghee is an excellent laxative as it lubricates the intestines. Have a spoonful of ghee in warm water for easy bowel movement.

    6 people found this helpful

    Why Intimacy Is Great for Penis Health?

    MD - General Medicine
    Sexologist, Delhi
    Why Intimacy Is Great for Penis Health?

    When a man is thinking about getting it on, he might be thinking about the pleasure involved - but there are benefits to intimacy that go far beyond what he might experience during those moments of bliss. In fact, penis health is vastly improved by greater intimacy, as is overall health. Here are ten good reasons why a man should make intimacy a priority - and it goes well beyond simply looking toward good penis care.

    1. Intimacy lowers blood pressure. Recent studies have shown that those who have regular relations with a partner also have much lower diastolic blood pressure than those who are not sexually active.

    2. Aggressive intimacy burns calories. Want to burn at least 200 calories? A good romp in the sack can do it. Just make sure to keep going for more than 30 minutes or so to get the best benefits - something a partner probably will not mind at all!

    3. Stress lowers, happiness goes up. Sexual activity releases endorphins and other great hormones that lower the levels of stress, thus lessening the debilitating effects of that stress. In turn, happiness levels rise.

    4. Immunity gets better. Those who want a stronger immune system should aim to have sex at least once per week. During a good session, the body increases production of immunoglobulin A, which creates a healthier immune system and thus helps the body fight off diseases.

    5. It's an antihistamine. Those who suffer from allergies or asthma sometimes find that a good romp will lead to much easier breathing. It's believed that the body releases natural antihistamines during intimacy, which leads to an easier time for the lungs.

    6. Heart attacks are less likely. A British study found that those who have intimate relations with a partner at least twice per week are much less likely to suffer a heart attack. In addition, the activity keeps other cardiac issues at bay, such as high blood pressure (as previously mentioned).

    7. Sex protects against prostate cancer. When it comes to penis health, there's no doubt that regular sex is best. Those who ejaculate at least 21 times per month have a much lower incidence of prostate cancer than those who get off about 7 times per month. If that fun is had with a partner, many other benefits come into play, so it's a good idea to get busy!

    8. Sleep is much better. There has long been that old joke about a man getting off, rolling over and falling asleep almost immediately. There's actually some truth to that: an orgasm releases oxytocin, which induces sleepiness and makes it easier to relax. However, it's important to make sure that both partners have that same dose of oxytocin, so that one doesn't sleep while the other stays awake and annoyed.

    9. Bonding and self-esteem increase. In the aftermath of sex, bonding between the two people involved tends to be heightened, thanks to the release of oxytocin. However, self-esteem also goes up. Whether it's from the bonding or from the sexual event itself, no one really knows - but it doesn't matter. It's still a good feeling that deserves to be repeated over and over!

    10. It's a natural painkiller. The body releases endorphins during sex. These feel-good hormones can help alleviate pain. Those who suffer from headaches, arthritis, minor aches and pains and even women with menstrual cramps might notice that those aches go away during and after intimacy - and tend to stay away for quite some time.

    To make the most of penis health and intimacy, a man wants to be prepared for anything. This can be assured by using a top-notch penis health crème (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin). A guy should look for a crème that contains L-arginine, an amino acid known for helping blood vessels dilate, which can in turn help with erections. A crème that contains vitamin C is helpful as well, as it provides the support for collagen that is necessary for optimum firmness.

    4 people found this helpful

    Vitamin D Supplements - Are They Required During Pregnancy?

    FICOG, FICMCH, FIMSA, MD - Obstetrtics & Gynaecology, MBBS
    Gynaecologist, Delhi
    Vitamin D Supplements - Are They Required During Pregnancy?

    Vitamin D and pregnancy hand in hand go together. Expecting mothers need ensure they get the recommended amounts of Vitamin D during pregnancy for the healthy development of the baby as well as their own well-being. 

    Vitamin D is a fat-soluble vitamin obtained mostly from consuming fortified milk or juice, fish oils, and dietary supplements. It also is produced in the skin by exposure to sunlight. Vitamin D which is ingested or produced in the skin must undergo hydroxylation in the liver and kidney to promote absorption of calcium from the gut to enable normal bone mineralization and growth. Severe maternal Vitamin D deficiency has been associated with congenital rickets and disordered skeletal homeostasis coupled with fractures in the new-born during pregnancy.  Vitamin D is necessary for the metabolism and absorption of phosphorus and calcium. Many studies are finding a connection between low serum vitamin D levels and an increased risk of certain types of autoimmune disease, cancers, insulin resistance, neurological disease and cardiovascular disease.

    Latest studies have shown that Vitamin D deficiency is common during pregnancy especially among women residing in northern latitudes, living in cold climates or wear sun and winter protective clothing and ethnic minorities, especially those with darker skin. As the Vitamin D level of new-born is largely dependent on maternal Vitamin D status, the infants of mothers with vitamin D deficiency are also at risk of Vitamin D deficiency. Inadequate vitamin D can lead to abnormal bone growth, fractures, or rickets in new-borns.  Deficiency of vitamin D leads to a higher risk of pregnancy complications like gestational diabetes, premature birth and low birth weight.

    The symptoms of a vitamin D deficiency include aching muscles, bone pain, and softened bones leading to fractures. Fish liver oil, fatty fish, and eggs are excellent food source for Vitamin D. It is difficult to get sufficient vitamin D from food, which makes it necessary to have Vitamin D supplements. Since the skin uses the sun's rays to produce vitamin D, limited sun exposure is recommended. Exposure to the sun's ultraviolet rays intensifies the pigment changes causing skin darkening in pregnant women. Thus, most doctors endorse that pregnant women protect themselves from the sun and get their vitamin D from supplements. The average prenatal vitamin contains 400 IU of vitamin D, which makes it imperative that additional supplements should be taken. The significant compounds for human development are D2 and D3. The best way to really ensure adequate vitamin D is through simple supplementation. Ergocalciferol is the vegetarian form of vitamin D whereas cholecalciferol is the animal-sourced form, derived from fish liver oil or lanolin from sheep.

    3469 people found this helpful

    Losing Too Much Hair? Here's What You Can Do!

    Sexologist, Chittorgarh
    Losing Too Much Hair? Here's What You Can Do!

    Luscious, healthy hair is undoubtedly one of the most prominent feature that adds charm to your personality. However, a minor or severe form of physical or mental stress and related problems can adversely affect your hair health and growth pattern.

    Are you losing too many hair strands in a day?

    If yes, then tentatively, how many?

    If the number is about 100, then you need not worry, however, if it is beyond 100 you need to get cautious.

    On an average, an adult has 100,000 to 150,000 hair and each hair follicle has its own life cycle, and traverses through three phases during its growth phase; anagen (active hair growth takes place), catagen (transitional hair growth), and telogen (resting phase after which the hair sheds off). Hair fall is a normal physiological process in which the hair completes its life cycle and sheds off. However, excessive hair fall is a health concern that needs thorough evaluation and treatment.

    Have you heard of telogen effluvium?

    Telogen effluvium (TE) also called as hair loss is a common dermatological condition which causes increased shedding of hair. This happens when there is a premature arrest of the growth of hair follicles and these follicles enter into the telogen phase (resting) followed by diffuse thinning of hair on the scalp. In most cases, the hair thins on the top of the scalp compared to the sides and back of the scalp. The hair loss is temporary and the hair soon recovers.

    How common is telogen effluvium in India?

    Studies suggest that TE is amongst the most common cause of hair loss. It can occur in both males and females. However, it is found to be more common in females.


    What are the common causes of telogen effluvium?

    Common causes of TE include certain medical condition, stress, pregnancy, crash dieting, nutritional deficiencies, intake of certain medicines, and physical trauma.

    A common cause of hair loss in the Indian population is diet. A major proportion of the Indian population consumes a diet lacking essential amino acids, vitamins, and minerals, predisposing the population to this condition. It, therefore, becomes more important to include vital minerals such as zinc, amino acids (such as L-lysine), and vitamins (such as B6 and B12) to your daily diet or to take supplements available in the market.

    Are Indians at an increased risk of nutritional deficiencies?

    Yes, Indians are at an increased risk of nutritional deficiencies. Several research studies conducted in the past outline a direct association of nutritional deficiencies with hair loss.

    In fact, according to a clinical survey published in Indian Medical Gazette, 9 out of 10 people in the country are unable to consume adequate amount of proteins. Working population settled in urban areas have been found to be most commonly affected by protein deficiencies.

    How can you ensure healthy and luscious hair?

    Simple 7 steps to healthy hair

    Volumes of literature support the need for adding nutritional supplements to the diet to avert the occurrence of hair fall. Often TE gets better once the trigger for the condition is taken care of. However, if in case it persists make sure you consult a medical professional at the earliest.

    Step 1: It’s all about what you eat (have a BALANCED DIET!!!)

    • Considering the fact, that a major part of the Indian population are green eaters and they often run short of essential nutrients, one needs to make a conscious effort to have a balanced and nutrient rich diet.
    • Add green leafy vegetables that are an abundant source of iron, zinc, and other vitamins and minerals that are essential for healthy hair growth. Add PROTEIN to your diet. Include milk products, soya products, nuts, fish, lean meat seeds, sprouts, and cereals to your daily diet.
    • Opt for foods packed with vitamin E, like almonds, walnuts, or strawberries which improve scalp circulation, as well as vitamin C-rich foods like broccoli, tomatoes, and other citrus fruits.

    Step 2: Massage your scalp regularly

    Massage has been found to improve the blood circulation to the hair follicles and stimulates hair growth. Try essential oils such as olive oil, castor oil, rosemary oil, and coconut oil to massage your scalp. Warm oil helps penetrate the scalp more effectively. You can also apply hair serums that are enriched with nutrients that nourish the hair and keep it healthy.

    Step 3: Choose your SHAMPOO wisely

    Watch out for harsh chemicals like parabens, lauryl sulfate, and sodium chloride. Parabens which are used as preservatives in shampoos can mimic as estrogens which lead to hair loss. Lauryl sulfate, an anionic surfactant used in many cleaning and hygiene products, also cause hair fall. You can also apply certain over-the-counter products that help in better penetration of anti-hair fall medications and enhance their action.

    Step 4: Get sufficient Vitamin D (Don’t hide from the sun)

    Little do we realize that sunlight actually plays a critical role in promoting hair growth. Sunlight helps you get your daily dose of Vitamin D which is helpful in managing hair fall, so don’t hide from it!

    Step 5: Say NO to stress

    Stress is amongst the key factors governing a happier and healthier you. So, make sure it does not serve as a roadblock in your health.

    Eat healthy and bring in basic lifestyle changes in your day to day life to avert the chances of triggered hair fall.

    Step 6: Go for hair growth supplements

    -Keratin makes up most of our hair strands and amino acids such as cysteine, lysine, arginine, and methionine play a critical role in the formation of the hair strands. The market is loaded with several supplements (oral and topical) that help to provide the hair with essential nutrients and vitamins. You can choose to pick supplements that are a source of vital minerals and vitamins essential for hair growth.

    Step 7: Seek help from a dermatologist/ trichologist

    • In case your hair fall tends to worsen or does not improve with dietary and lifestyle changes, it is best to consult a dermatologist. He/she will examine your scalp and may suggest certain tests to rule out any underlying cause of hair fall. He/she may also prescribe some topical or oral medications and supplements to help manage hair fall better.
    • So, go ahead and try these simple and effective everyday tips to ensure that your hair stays healthy and strong.
    9 people found this helpful

    Asthma - Types And Homeopathic Medicines!

    Homeopathy Doctor, Hooghly
    Asthma - Types And Homeopathic Medicines!

    Asthma is a condition characterized by wheezing and difficulty in breathing. Asthma is a common disease that affects children, teenagers and adults alike. Depending on what triggers an asthmatic attack, asthma can be categorized as four types. These are:

    1. Allergic asthma: This sort of asthma usually begins in childhood and is caused by the overproduction of immunoglobulins as a reaction to the allergen. This type of asthma can also be passed on from one generation to another through genes.
    2. Infective asthma: This is caused by viral bronchial or upper respiratory tract infections. It is not hereditary.
    3. Emotional asthma: Some cases of asthma can be triggered by psychological factors such as stress, grief or anxiety. However, it is not clear if this is the sole trigger for asthma.
    4. Occupational asthma: Exposure to metallic dusts, biological detergents, polyurethane, etc. can also trigger asthmatic attacks. This type of asthma is called occupational asthma.

    A homeopath will not only determine the type of asthma, but will also delve into a detailed medical history of the patient before prescribing medication. Some forms of homeopathic medication that can be used to treat asthma are:

    1. Lpecac: This is used to treat asthma in cases where the difficulty breathing is accompanied by a feeling of heaviness over the chest, dyspnoea, constant coughing with no expectoration and cold perspiration. It is often aggravated by motion.
    2. Arsenicum: Asthmatic attacks that begin in the middle of the night and are accompanied by restlessness and anguish can be treated with arsenicum. This is especially beneficial in cases of chronic asthma in elderly people and habitual dyspnoea.
    3. Nux vomica: This is used mainly to treat asthmatic attacks triggered by gastric troubles or be excessive intake of coffee and alcohol. A constricted feeling around the lower part of the chest is another symptom of this type of asthma.
    4. Kali bichromicum: Asthmatic attacks that wake a patient up in the wee hours of the morning compelling him to sit up, in order to be able to breathe can be treated with Kali bichromicum. A stringy yellow mucus expectoration is another symptom of this type of asthma. It can also be used as an effective form of treatment for asthmatic attacks caused by nervousness.
    5. Natrum sulphuricum: This is used to treat asthmatic attacks caused by a change in weather. In such cases, the asthmatic attack is accompanied by diarrhea and greenish expectoration. It is usually worst in the early mornings. If you wish to discuss about any specific problem, you can consult a Homeopath.
    6711 people found this helpful