Elevated ASO for >3 mos with > 5 yrs sx

Looking for a conversation around inappropriate sinus tachycardia, Elevated ASO, Anti DNase B Strep antibodies, Anti Nuclear Dot, Anti Chromatin, Anti Smooth Muscle titers with elevated IgA and CRP Cardiac. Sxs are nausea, abdominal pain - have ruled out obvious liver disease, cariology issues outside of the tacchycardia (although medicated), endometriosis, and appendix has been removed.