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Is A ESR Level Of 56 A Cause For Concern?

Posted on Mon, 18 Jul 2016

Question: hello sir..i m 46 years old..female...my esr count is 56...pl guide me how to reduce...

Answered by Dr. Nishad BN (1 hour later)

Brief Answer:
ESR is a sign of inflammation or infection in body.

Detailed Answer:
Hi

Thank you for asking HCM

I have gone through your query. ESR is a sign of inflammation or infection in body. It can be due to auto immune diseases or systemic arthritis also.
There is no drug or measures to decrease ESR directly. But when you get treated for main cause of it ESR will be reduced.
So I need more information regarding your clinical symptoms. Do you have chronic joint pain or arthritis or history rheumatologic diseases like rheumatoid arthritis. ?
Do you have chronic cough or lung problems?
Please upload your complete blood also. If any sign of infection is there then it is possible to find from that.
Please update with above information. I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Nishad BN (4 days later)

good morning dr XXXXXXX

Thanks for reply.
yes sir,as you said,i am facing with joint pains in my fingures since last 10-11 months.

rh report is also normal.all my reports are normal. hemoglobin is 9.5..and esr is 56..except this two,all other reports are normal.

pl guide.

thanks & regards,
XXXXXXX

Answered by Dr. Nishad BN (1 hour later)

Brief Answer:
A proper rheumatologic screening should be done.

Detailed Answer:
Welcome again.

Thank you for your follow up.

A proper rheumatologic screening should be done. A consultation with rheumatologist is also well appreciated.
Heamoglobin 9.5 which is mild anaemia also a sign of rheumatoid arthritis. Even if RA factor is negative it is possible to have rheumatoid arthritis.
Do you have morning stiffness? that is stiffness of joints in the morning for half an hour or more.
Do you have any other symptoms like abdominal pain or continuous cough?
Get a TB PCR test to rule out tuberculosis also.

NSAID drugs like diclofenac can be used to decrease inflammation and pain. But continuous usage is not recommended as it can cause bowel irritation and kidney problems. Physiotherapy is beneficial.

Let me know if anything not clear.
I am happy to hep you.
Thanks.

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. Sonia Raina