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Concern over elevated ESR values - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
Doctor :   Hi
User :   hi
Doctor :   How can I help you?
User :   i have done my blood check up and my ESR is 52
Doctor :   Ok
User :   RBC count is 4.61
Doctor :   Ok
User :   well is that of any concern
Doctor :   May I know your age and gender?
User :   male age 36
Doctor :   And may i also know why these tests were done?
User :   as regular health check up
Doctor :   Do you have any medical illness?
User :   blood sugar levels and other parameters are within range
User :   NO
User :   infact my ESR ha been high for last 1 year
Doctor :   Do you smoke or consume alcohol?
User :   Strictly NO
Doctor :   Ok
Doctor :   Let me brief you.
Doctor :   The RBC counts mentioned is within the normal limits.
Doctor :   ESR is definitely high.
Doctor :   However, ESR is a non specific indicator, meaning a high ESR values alone cannot indicate any specific condition.
Doctor :   Let me explain this.
Doctor :   ESR is an indicator which rises in condition of inflammation and in anaemia.
Doctor :   There are various causes for inflammation
Doctor :   from simple infections to chronic conditions.
Doctor :   Hence you will need further evaluation to specify the exact reason for high ESR.
User :   i normally do have cold at the slightest change of weather
Doctor :   Do you have any allergies?
User :   NO
User :   infact i had done some checks on that last year the report was negative
Doctor :   Nasal congestions during cold weather may be due to allergic causes or due to vasomotor rhinnitis.
Doctor :   Chronic allergic conditions are also known to cause inflammation which may be the reason behind the cause for high ESR>
User :   ok
Doctor :   Hence, only further evaluation can indicate the reason for high ESR levels.
User :   ok and in that case what sort of evaluation is required
Doctor :   I shall brief you on that too.
Doctor :   Before explaining about the evaluations, let me say this.
Doctor :   Inflammation is caused by various factors and not all the ones are dangerous conditions.
Doctor :   Since you do not have any symptoms, the most likely causes are one of those non harmful causes.
Doctor :   You can consider consulting a rheumatologist who will be able to help you in evaluating you for those rare possible causes.
Doctor :   You would need few more tests based on the physical examination findings.
Doctor :   The type of test which may be needed can be opined following the physical examination by a rheumatologist.
Doctor :   Have you followed what I have suggested?
Doctor :   Are you there?
Doctor :   Are you there?
Doctor :   Are you there?
User :   yes
User :   ok
Doctor :   Do you have any other query?
User :   i got you thanks a lot for sharing the details
User :   no bye
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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