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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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a THR was made for me 4 yrs ago, since then CRP ranged from 6.5 to 10, the last was 6.5 , and ESR from 15 to 22 , no drain ,no swelling just tolerable pain sometimes.. there is one clearly visible(and smaller not visible) enlarged lymph nodes in my neck , are they the cause of such crp and esr? is my THR infected?I am 64 yrs, 86kgm . Thank you
Mon, 28 Oct 2013
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Internal Medicine Specialist,  's  Response
Hi,
Thanks for using Healthcaremagic,
After going through your available details your THR(Total Hip Replacement) was done 4 years back, it is unlikely that it is infected.Both CRP and ESR are markers of inflammation in body,

C-reactive protein is not normally found in the blood of healthy people.
It appears after an injury, infection, or inflammation and disappears when the injury heals or the infection or inflammation goes away.

Prolonged elevated levels of C-reactive protein are at an increased risk for heart disease, stroke, hypertension (high blood pressure), diabetes.
ESR is also non specific marker of inflammation and used for monitoring prognosis.

Your Lymph Nodes are enlarged hence get them examined and if necessary they can be excised and biopsy can be done to know the cause.
If Lymph nodes are insignificant then it may not be required .

Hope this information helps.
Take care
Good Luck.
Dr.A.Dubey M.D.




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Have Report. Can Any Online Doctor Help?

Hi, Thanks for using Healthcaremagic, After going through your available details your THR(Total Hip Replacement) was done 4 years back, it is unlikely that it is infected.Both CRP and ESR are markers of inflammation in body, C-reactive protein is not normally found in the blood of healthy people. It appears after an injury, infection, or inflammation and disappears when the injury heals or the infection or inflammation goes away. Prolonged elevated levels of C-reactive protein are at an increased risk for heart disease, stroke, hypertension (high blood pressure), diabetes. ESR is also non specific marker of inflammation and used for monitoring prognosis. Your Lymph Nodes are enlarged hence get them examined and if necessary they can be excised and biopsy can be done to know the cause. If Lymph nodes are insignificant then it may not be required . Hope this information helps. Take care Good Luck. Dr.A.Dubey M.D.