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What is the meaning of high and low ESR? - Online Doctor Chats

Date : 07-Jun-2013
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User:Hi Doctor
Doctor:How are you?
User:i am doing fine. How about you ?
Doctor:I am good thank you
Doctor:How can I help?
User:i need a small information on the ESR reading..which is mentioned as part of blood test
User:what is the implications of having this reading high or low ?
Doctor:A high ESR is suggestive of inflammation
Doctor:very non specific marker
Doctor:we never use it alone for clinical diagnosis
Doctor:A low ESR is not something to be concerned about
Doctor:It can be seen in certain conditions where the sedimentation of the RBC's is inhibited
User:my mother was having a figure of 60
User:when we did her annual health checkup on saturday
Doctor:how old is she?
User:she is 68 yrs old
Doctor:does she have any fever, weight loss, cough, loss of appetite or anything?
User:she was admitted in mallya hospital during 2nd week of oct for 5 days..
User:nothing of that sort...
User:i mean in bangalore
Doctor:has a mammogram been done for her?
Doctor:why was she admitted?
User:she had some lung infection and after some diagnosis
User:doctor told that it is streptococcal pnenumia
User:she had recovered well now..her lungs capacity is fine..
Doctor:that should have settled
User:but this figure if 60 is something we cant understand
Doctor:has a mammogram been done for her?
User:so far no
Doctor:and a colonoscopy/Pap smear
Doctor:These tests are required for this age group
User:pap smear ues
Doctor:They help us screen for cancer
Doctor:which is sometimes missed in this age group
User:pap smear report doesnt mention anything
User:colonoscopy was not advised
Doctor:its required
Doctor:you can look up the International guidelines
Doctor:above 55 yrs once every year
User:so doctor, you are advising to do colonoscopy and mammogram test for her ?
Doctor:its required
Doctor:if this is normal
Doctor:then I dont think we need to worry about the ESR
User:it may not be related to lungs infection ?
Doctor:Its been 1.5 months now
Doctor:It should have settled
User:you are it might be something it ?
User:you are *telling*
Doctor:Although I dont think it would be cancer
Doctor:clinically she's fine
Doctor:but given her age group and the current guidelines
Doctor:i dont want to miss it
User:ok, i will check on these tests in a day or two.
User:thanks doctor
Doctor:dont worry about it
Doctor:clinically, she is fine
Doctor:and all should be well
User:ok doctor..thanks for your time
Doctor:Thanks for consulting me
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