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

question-icon

Suggest Treatment For High ESR And Lympocytes Levels

default
Posted on Fri, 17 Oct 2014
Question: what is the reason for high esr and lympocytes
HOW IT CAN BE AVOIDED,WHY I AM GETTING CONTINUOS FEVER SONCE 4 MONTHS
pls confirm for the suggestions why i am getting fever continuos, hope i can get the same within 1 hour
doctor
Answered by Dr. Shashi Dangwal (4 hours later)
Brief Answer:
You have to now undergo higher tests

Detailed Answer:
Hello XXXX,

Thanks for posting your query on HCM. I would like to know if you also have symptoms like weight loss, breathlessness or any joint pain. Is it low grade fever?

Raised ESR and lymphocyte count are nonspecific investigations and indicate that there is some chronic infection/inflammation in the body.

Since all the tests done so far are normal(except LFT which is mildly deranged and could be due to same), you have to now undergo higher tests. Before that get a USG abdomen done, a widal test for typhoid, a urine RE/ME and urine c/s. Subsequently you may have to undergo blood culture, a bone marrow aspiration/biopsy and a bronchoscopy to get bronchial lavage and or biopsy.

TB is a very common disease in our country which can cause symptoms like yours. If all these come normal, you may have to undergo a trial of ATT where in TB treatment is given for a month and if patient responds favourably, it is continued and if not it is stopped.

I suggest you consult your local pulmonologist for all these.

I hope this answers your query.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
default
Follow up: Dr. Shashi Dangwal (58 minutes later)
i do not feel breathless,weightless and joint pain.i have done all the tests which is suggested by physician and pulomonologist including xray and scan of the chest which is normal.i would like know why i am getting contonuos fever evn after all the reports are normal. as suggested by ndoctor, o donot have tb also
doctor
Answered by Dr. Shashi Dangwal (4 hours later)
Brief Answer:
Follow the course of action as suggested.

Detailed Answer:
Dear XXXX,

I have already answered your question above.

It is to know the cause of the fever that you have to follow the course of action as suggested.

Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shashi Dangwal

Pulmonologist

Practicing since :1979

Answered : 1157 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For High ESR And Lympocytes Levels

Brief Answer: You have to now undergo higher tests Detailed Answer: Hello XXXX, Thanks for posting your query on HCM. I would like to know if you also have symptoms like weight loss, breathlessness or any joint pain. Is it low grade fever? Raised ESR and lymphocyte count are nonspecific investigations and indicate that there is some chronic infection/inflammation in the body. Since all the tests done so far are normal(except LFT which is mildly deranged and could be due to same), you have to now undergo higher tests. Before that get a USG abdomen done, a widal test for typhoid, a urine RE/ME and urine c/s. Subsequently you may have to undergo blood culture, a bone marrow aspiration/biopsy and a bronchoscopy to get bronchial lavage and or biopsy. TB is a very common disease in our country which can cause symptoms like yours. If all these come normal, you may have to undergo a trial of ATT where in TB treatment is given for a month and if patient responds favourably, it is continued and if not it is stopped. I suggest you consult your local pulmonologist for all these. I hope this answers your query.