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Arthritis symptoms with raised ESR - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Arthritis
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
Doctor :   How can i help you
User :   Good Evening sir
Doctor :   Good Evening
User :   Today i want to say something about my father.
Doctor :   please do
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Weight and Height: Dependents: Yes/ No.
Doctor :   You r Fathers Details
Doctor :   Your Father's Details
User :   55 years old, married, serviceman, weight 52 kg and height 5ft 5inch.
User :   few days ago he consulted a general physician and doctor prescribe some tests e.g. HB,TC DC ESR.and suggested to take a vitamin tablets.and he told that all are ok.But after the test the ESR is 36mm/Ist hour.We couldn't understand that is it normal or not? Could you please help me Sir
User :   We cant consult the doctor right now.
Doctor :   Does he have any Symptoms at all
Doctor :   Like fever or Illness or Low Hemoglobin
Doctor :   or Anemia
User :   Being a serviceman he has to travel a lot of distance by bus.And he sometimes feels weak.And Hemoglobin is within the limit thats 11.9(82.5%)
Doctor :   ARTHRITIS and VASCULITIS can cause this picture at his age it would be normal to have arthritis
User :   Weakness is the main problem
Doctor :   What was the Hb level
User :   Hemoglobin is within the limit thats 11.9 (82.5%)
Doctor :   ok
User :   But ESR?
Doctor :   then i would suspect it to be nothing to worry about
Doctor :   since at his age Arthritis could be seen and that is also the important cause for Raised ESR
User :   There is no limit on the test report so we cant understand.Whats the normal limit of ESR at this age
User :   ?
Doctor :   4-5 mm at the end of first Hour
Doctor :   is thenormal and there are many variations
Doctor :   to it
User :   then 36 is quite heigh?
Doctor :   but with him having no other symptoms other than the Weakness i would not suspect any thing else
Doctor :   Yes i agree and that is why i have mentioned that it can be due to Arthritis also which is common at his age
User :   But he has no such pain in body parts other than weakness.
Doctor :   Weakness in the sence if you can explain
User :   after reaching home he feels not too weak but little bit of.
Doctor :   Causes of a high ESR include:malignant lymphoma which would have been clear in his blood investaigations
Doctor :   anaemia of acute or chronic disease, alone or combined with iron deficiency
Doctor :   macrocytosis elevates ESR
Doctor :   all would be seen inthe Blood tests
Doctor :   connective tissue disorders - like
Doctor :   * systemic lupus erythematosus } normal in 5% of
* rheumatoid arthritis
* polymyalgia rheumatica
* temporal arteritis
* systemic sclerosis
Doctor :   Could be the cause
User :   And one thing is that 4 years ago his sugerlevel increased 164 after that he avoid sugar till now.The sugar level now is ok.
Doctor :   but then again it will have long standing history
Doctor :   that is good ask him to worry more about the sugars not this raised ESR
User :   Which types of blood tests should be done?
Doctor :   Measures should be taken to keep a check on the sugars
Doctor :   Blood tests for What
Doctor :   if you can Mention
User :   You told that which would have been clear in his blood investaigations
Doctor :   Infections like Tuberculosis can also cause this
User :   That test also done and the report is ok
Doctor :   It would have been clear with the investigations that he already has undergone
Doctor :   since all are normal there is nothing to worry about
User :   Then whats the reason please tell me
Doctor :   for your satisfaction get the ESR repeated some time later at another outlet apart from the one that you have already gone to
Doctor :   I would suspect Connective tissue Disorders to be the cause and that will require Examination By the Physician in detail
Doctor :   only then it can be confirmed.
User :   I forget to tell that 1 year ago the ESR level was 73 now in 36
Doctor :   ok
User :   What is Connective tissue Disorders ?
Doctor :   When did you get the test
User :   1 year ago
Doctor :   that is segment of diseases that i have mentioned earlier too and they will need to be examined to confirm
User :   That means arthatrities?
Doctor :   Have you evaluated for his Renal Parameters
User :   what is Renal Parameters ?
Doctor :   that is Joint Disease that most people at old age get due to the
Doctor :   Wear and tear of the Joints
User :   No sir
Doctor :   Blood Urea And Serum Creatinine are the Once that will tell how the Kidneys are functioning
Doctor :   they are the Renal Parameters
User :   That are also done and those are normal
Doctor :   ok
User :   Should i imidiate consult the doctor?
Doctor :   then i would ask you no to worry at all about the ESR
Doctor :   No it will not be needed
User :   Thank you sir for being with me.
User :   Good Night.
Doctor :   good night to you too
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