My name is Atul Tyagi and i am a non smoker.
I do complete body checkups every 8-9 months.
Last checkup was in Oct 2024 and latest on 23rd June 2025.
This time my CEA level is 4.12 and I dont smoke but drink beer one or twice a week.
Last time in Oct 2024 CEA level was less than 0.5.
Would like to know that which doctor shall i see for this and shall i be worried becuase of this elevated levels.?
All other reports are mostly healthy
I was taking telvas 3d from few years but now stopped as BP is under control now after reducing weight from 98 to 81kgs
Atul Tyagi
98xxxxxx11
Ghaziabad
Answers (18)
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If I was in your place I would have stopped getting my CEA level done .
On a serious note , the CEA test is useless for diagnosing Cancer. It is done for follow up after a patient has been treated for Cancer and we want to find out if there is some recurrence.
You have not reached the first stage but, thanks to Google, you are getting investigations for the second stage.
What is CEA?
CEA (Carcinoembryonic Antigen) is a tumor marker — a blood test sometimes used to monitor certain types of cancer, especially colon cancer.
It’s not a routine screening test and can be elevated due to non-cancerous reasons too.
✅ Your Situation Summary:
Age: 41 years, non-smoker
Alcohol: Occasional beer (1–2/week)
Last CEA: <0.5 ng/mL (Oct 2024)
Current CEA: 4.12 ng/mL (June 2025)
BP is now under control, weight loss achieved
Other reports are healthy
📌 Is 4.12 a Problem?
Normal CEA level for non-smokers: usually <3.0 ng/mL
Mild elevation like 4.12 is not always dangerous, especially without symptoms.
It can increase due to:
Recent infection or inflammation
Fatty liver
Alcohol intake
Benign conditions (like ulcers, IBD)
Lab variation or fasting state not maintained
📆 What to Do Now?
Don’t panic — a mild rise alone doesn't confirm cancer.
Repeat the CEA test after 6–8 weeks — to see trend (rising/stable/falling).
If still high, your doctor may advise:
Ultrasound abdomen
CT scan (if needed)
Stool occult blood test
Colonoscopy (especially if family history of colon cancer)
👨⚕️ Which Doctor to Consult?
First, visit a General Physician.
Based on findings, they may refer you to:
Gastroenterologist (if GI tract issue suspected)
Oncologist (if trend continues rising or other signs show)
✅ Final Advice:
CEA of 4.12 is mildly elevated, and many non-cancerous causes exist.
Since you are non-smoker and asymptomatic, this does not mean cancer.
Keep monitoring under your doctor’s guidance.
📌 Reference: Harrison’s Manual of Medicine — Tumor markers like CEA have limited diagnostic value and must be interpreted in clinical context. Elevations can occur in benign conditions and should be followed over time.
MARK HELPFUL ☺️🙂👍
I can definitely help you over this being a general physician
You can consult with me online on Practo or Contact on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
Please share details of your problem if any. Why has CEA been done?
CEA is just borderline high, nothing to worry.
Keep your b.p and bodyweight well controlled.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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