Hello dear,

Erythrocyte Sedimentation Rate (ESR) is more of prognostic value rather than diagnostic one.
And in absence of any specific symptom, only rise in ESR has no clinical significance.
Though increase in ESR is seen in many conditions like anemia, chronic diseases, tuberculosis, etc. any disease cannot be diagnosed only on the presence of increased ESR.
In your post you have mentioned the decrease in values of ESR on subsequent testings. It indicates a good prognosis that the treatment against UTI has been effective.

Please let me know if you have any further queries.
You can ask me a direct query on this website using the below link: http://www.healthcaremagic.com/doctors/dr-polash-sannigrahi/64925

Wishing you a good health.
Take care.

Hi,

he Erythrocyte Sedimentation Rate (ESR) is a blood test that measures inflammation or abnormal proteins in the body. While the ESR is not an indication of any one disease, it commonly increases with any condition that causes inflammation, such as infection, arthritis, or cancer. However, up to 10% of normal, healthy people have a mildly elevated ESR and it tends to increase with age. The higher the level of ESR, the more likely the person is to have a condition known to be associated with it .

In your case raised ESR is due to urinary tract infection any how it is reaching lower values hence you need not worry

Causes of a high ESR include:

malignancy:
malignant lymphoma
carcinomas of colon and breast
haematologic:
multiple myeloma - a high ESR plus osteoporosis equals multiple myeloma until proved otherwise
anaemia of acute or chronic disease, alone or combined with iron deficiency anaemia - not Fe deficiency alone
macrocytosis elevates ESR (1)
connective tissue disorders - especially:
systemic lupus erythematosus } normal in 5% of
rheumatoid arthritis } patients
polymyalgia rheumatica
temporal arteritis
systemic sclerosis
infections:
tuberculosis
acute hepatitis
bacterial
others:
sarcoidosis
renal diseases - especially with azotemia
drug fever
hepatic cirrhosis
physiological increases in fibrinogen e.g. during pregnancy, also raise ESR levels

ESR can be kept in normal range as per treatment of the primary cause

Hope this will help you

Regards
Dr Sandhya Manorenj
Neurologist
Hi Tech City ,Hyderabad