HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Is ESR Rate Of 75 Mm A Cause For Concern?

Posted on Tue, 12 Jul 2016

Question: Hello doctor..
My mother is 60. Her esr rate found at 75 mm...pl advice me how to reduce it.
Regards

Answered by Dr. Hardik Sanghvi (18 minutes later)

Brief Answer:
It depends on cause of high esr.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
Her ESR is high.

First of all we should search the cause of high esr.

Tuberculosis, infection, anemia, autoimmune disease, paraprotienemia, malignancies all can lead to high esr.

So she should rule out all cause according to her symptoms.

Please tell me about her symptoms and send me reports she have already gone through.

Please give me follow up.

Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Hardik Sanghvi (1 hour later)

Her report...

......CBC ESR......
--------------------
Hb...12.5
Erythrocyte count..4.84

RBC INDICES
PCV...41.0
RDW...15.8
MCV...84.7
MCH...25.8
MCHC..30.8
Leucocyte count..13800

WBC DIFFERENTIAL COUNT
Neutrophils...62
Lymphocytes...34
Eosinophils...1
Monocytes...3
PLATELET COUNT...1.83
ESR...75

LIVER FUNC TEST

Serum SGOT...55
Serum SGPT...75
Alkaline Phosphates...147

URINE REPORT
Microscopic examination
Bacteria...Present++

She is under treatment of depression n mood changing disorder
Below are her ongoing medicines
Nuhenz...Nexito 5...Pacitane 2...Sulpidon 50...Oliramp 10...Fluvoxin Cr 50

Following are for Blood Pressure
Telma H
Atenlol 50

For Diabetis
Glynus Mf

For Thyroid
Eltroxin 75

Please advice me

Answered by Dr. Hardik Sanghvi (16 hours later)

Brief Answer:
She may have some infection.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.

Her complete blood count report suggest that her hemoglobin is normal so it rule out anemia. Her WBC count is slightly high with bacteria is urine. So she may have some infection. Infection can leads to high ESR.

If she has symptoms of infection then she should take a course of antibiotics.
IF she has no symptoms of infection then please tell me about her symptoms.

Continue her medication of blood pressure, diabetes and thyroid and depression as per advise.

Hope I have answered your question. If you have any other question then you can I me. I will be happy to answer. Thanks for using health care magic. Wish you a very good health.

Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar