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How Can The High ESR Levels Be Reduced?
Question: how to reduce high esr (110) for old age patient (62) with diabetes
Additional Info:
The W.B.C count is got reported as 14700+
Hemoglobin is low 9.8
Sometime get shivering for an Hour
Additional Info:
The W.B.C count is got reported as 14700+
Hemoglobin is low 9.8
Sometime get shivering for an Hour
Brief Answer:
treating anemia and infections along with diabetes
Detailed Answer:
Hey thanks for your faith in the health care Magic
I have gone through your question and I understood your problem.
ESR is erythrocyte sedimentation rate.I t is useful in detecting and monitoring tuberculosis, tissue death, certain forms of arthritis, autoimmune disorders, and inflammatory diseases that cause vague symptoms.
There are many conditions like Anemia, Endocarditis, Kidney disease, Osteomyelitis, pregnancy, Rheumatic fever, Rheumatoid arthritis, Syphilis, Systemic lupus erythematosus, Thyroid disease, Tuberculosis or other inflammatory conditions which consist of raised ESR.
The only way of treating it is diagnosing it and treating it accordingly.
In your case you are a diabetic so try ruling out infections which are common.I have experienced in my own clinics that aggressive treatment of infections with antibiotics is very important to treat raised ESR.
You also are anemic which needs treatment aswell.For your hemoglobin I advice oral iron therapy if its not tolerated then you can go for iron sucrose.
treating anemia and infections along with diabetes
Detailed Answer:
Hey thanks for your faith in the health care Magic
I have gone through your question and I understood your problem.
ESR is erythrocyte sedimentation rate.I t is useful in detecting and monitoring tuberculosis, tissue death, certain forms of arthritis, autoimmune disorders, and inflammatory diseases that cause vague symptoms.
There are many conditions like Anemia, Endocarditis, Kidney disease, Osteomyelitis, pregnancy, Rheumatic fever, Rheumatoid arthritis, Syphilis, Systemic lupus erythematosus, Thyroid disease, Tuberculosis or other inflammatory conditions which consist of raised ESR.
The only way of treating it is diagnosing it and treating it accordingly.
In your case you are a diabetic so try ruling out infections which are common.I have experienced in my own clinics that aggressive treatment of infections with antibiotics is very important to treat raised ESR.
You also are anemic which needs treatment aswell.For your hemoglobin I advice oral iron therapy if its not tolerated then you can go for iron sucrose.
Above answer was peer-reviewed by :
Dr. Raju A.T
Doctor,
Is it possible you to get some definitive diagnose
I understood that there are many possibilities,But cause of writing to you is to get some conclusion.
I can tell you most of the symptoms so that you can provide some specific guidelines
The patient is suffering with below symptoms for last 15 days
Little fever some times
Low appetite (initially very low but now little bit improved)
Weakness and pale
Sugar is increased - 174
high ESR - 110
Hemoglobin - 9.8
WBC - 14800
Feeling cold - Approximate 1 HR per day
Dry mouth
little problem for breathing (Dhap lagne in Marathi)
Doctor has insisted to take chest x-ray and found some cavities in lungs
Are the Cefipower and calpol are appropriate medicines suggested by local doctor as I seen on internet that side effects of these medicines is more than their usefulness?
Can you guide \ suggest some tips to cure this problems
The raising question to online by hoping some good diagnose here
Is it possible you to get some definitive diagnose
I understood that there are many possibilities,But cause of writing to you is to get some conclusion.
I can tell you most of the symptoms so that you can provide some specific guidelines
The patient is suffering with below symptoms for last 15 days
Little fever some times
Low appetite (initially very low but now little bit improved)
Weakness and pale
Sugar is increased - 174
high ESR - 110
Hemoglobin - 9.8
WBC - 14800
Feeling cold - Approximate 1 HR per day
Dry mouth
little problem for breathing (Dhap lagne in Marathi)
Doctor has insisted to take chest x-ray and found some cavities in lungs
Are the Cefipower and calpol are appropriate medicines suggested by local doctor as I seen on internet that side effects of these medicines is more than their usefulness?
Can you guide \ suggest some tips to cure this problems
The raising question to online by hoping some good diagnose here
Brief Answer:
symptoms are suggestive of lung pathology
Detailed Answer:
Hey thanx for the revert.
In first question you only asked about how to reduce esr.so I dint have any other option but to answer randomly.Its nice that you have told all the symptoms now.
Patients symtoms and lung cavities lead towards a strong suspicion of TB. There can also other lung infections like pneumonia,empyema. First line of management should be ruling out TB,for that have the sputum tested. If TB is present start anti TB drugs. If its not TB start appropriate antibiotic therapy.
Regarding the drugs your doctor prescribed they only are for symptomatic treatment and are not going to help you treat the condition. So I suggest you to consult with your doctor regarding the management strategy.
I hope my answer was helpful for you . Dont forget to close the discussion.Thank you.
DR . XXXXXXX HASABE
symptoms are suggestive of lung pathology
Detailed Answer:
Hey thanx for the revert.
In first question you only asked about how to reduce esr.so I dint have any other option but to answer randomly.Its nice that you have told all the symptoms now.
Patients symtoms and lung cavities lead towards a strong suspicion of TB. There can also other lung infections like pneumonia,empyema. First line of management should be ruling out TB,for that have the sputum tested. If TB is present start anti TB drugs. If its not TB start appropriate antibiotic therapy.
Regarding the drugs your doctor prescribed they only are for symptomatic treatment and are not going to help you treat the condition. So I suggest you to consult with your doctor regarding the management strategy.
I hope my answer was helpful for you . Dont forget to close the discussion.Thank you.
DR . XXXXXXX HASABE
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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