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Disseminated Intravascular Coagulation (DIC) is a life-threatening blood disorder where the clotting system becomes overactive, causing widespread clots in small blood vessels throughout the body while simultaneously depleting clotting factors and leading to severe bleeding. It is caused by conditions that trigger excessive thrombin production, such as sepsis, severe trauma, cancer, or complications during childbirth. The Fibrinogen Activity test is the most important test for DIC diagnosis because it measures the critical clotting protein that becomes severely depleted during this condition.
DIC is caused by conditions that trigger uncontrolled activation of the blood clotting system, leading to excessive thrombin production throughout the body. The most common triggers include severe infections like sepsis (especially from bacteria like Escherichia coli and Staphylococcus aureus), major trauma or burns, complications during pregnancy such as placental abruption or amniotic fluid embolism, certain cancers (particularly leukemia and adenocarcinomas), and severe tissue injury. These underlying conditions release substances into the bloodstream that activate the coagulation cascade excessively, causing the body to form tiny blood clots in small vessels while simultaneously using up all available clotting factors and platelets, which then leads to dangerous bleeding.
The Fibrinogen Activity test is the most important test for DIC because it directly measures the functional level of fibrinogen, the critical clotting protein that becomes severely depleted during this condition. In DIC, fibrinogen is consumed rapidly as the body forms widespread clots, and dangerously low levels are a hallmark diagnostic finding. However, DIC diagnosis requires a panel of coagulation tests working together. The Prothrombin Time (PT/INR) and Partial Thromboplastin Time (PTT) tests are essential because they show prolonged clotting times when clotting factors are depleted. Additional tests like Protein C Activity and Antithrombin III Antigen reveal decreased levels of natural anticoagulants, while Prothrombin (Factor II) and Fibrinogen Antigen tests confirm the consumption of specific clotting components. Your doctor will interpret these results together to confirm DIC and determine its severity.
You should get tested for DIC immediately if you have an underlying serious condition like sepsis, severe infection, major trauma, or pregnancy complications and begin experiencing unusual bleeding or bruising. Warning signs include bleeding from multiple sites such as IV insertion points, surgical wounds, or the gums, unexplained bruising appearing across your body, blood in your urine or stool, or tiny red or purple spots on your skin called petechiae. You may also notice symptoms of blood clots like chest pain, shortness of breath, leg pain or swelling, or confusion. DIC is a medical emergency that develops rapidly in critically ill patients, so testing should occur urgently in hospital settings when doctors suspect this life-threatening complication.
What this means
Your fibrinogen level is elevated above the optimal range, which indicates increased inflammation in your body and higher cardiovascular risk. Elevated fibrinogen makes your blood more prone to clotting and is associated with increased risk of heart attack and stroke. This is a meaningful finding that warrants attention to reduce inflammation and protect your heart health.
Recommended actions
Adopt an anti-inflammatory diet rich in omega-3 fatty acids from fish, walnuts, and flaxseeds
Engage in regular aerobic exercise like brisk walking, swimming, or cycling for 30 minutes most days
If you smoke, prioritize quitting as smoking significantly elevates fibrinogen levels
Retest in 3-6 months after implementing lifestyle changes to monitor improvement
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