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What Happens When ESR Is High?
Question: What happens when ESR is high, ma having pains in my fingers and feet. Worst in morning
Brief Answer:
Need More Detail.
Detailed Answer:
Dear Friend
Welcome to XXXXXXX
ESR is a non-specific marker. It can be increased in any infection or inflammation , so it is co-related clinically with other signs and symptoms , as well as with other investigations.
So , I need to evaluate you regarding this high ESR.
ESR Of 40 mm/hr is high, and requires evaluation
I need to know exactly where you have pain , in the muscles or in the joints?
Are you having any stiffness in morning associated with pain?
Any history Reddening of eyes frequently, oral ulcers, any rashes , or any other medical history?
Any recent fever or any fever of long duration?
Any cough or expectoration?
Any history of diabetes.
Do also mention , since how long you are having these pains in fingers and feet. They are on both hands and both feet or random?
Revert me with these answers , so that i can help you in making the possible diagnosis.
Above answer was peer-reviewed by :
Dr. Prasad
Hi
I have pain in hand fingers..all 10 and feet most affected is left.
Its like something is picking when i walk...a strong needle inside..
I have pains for more than 6 months now..its too worse that the pain is unbearable.
All 10 fingers..i couldnt type..sometimes couldnt hold.mobile for long hours..when i close my fingers it hurts
No history of diabetes..and i didnt get any fever..cough
But i am affected by back pain for more than four years.. I couldnt sit down more than 10 min.
No diagnosis has done..i just apply hot water bag or volini. Thats all.
Please let me what would be the reason for my pains...
Brief Answer:
You require further investigation
Detailed Answer:
Dear Friend.
The possible causes of pain in your case could be:
1. Rheumatoid Arthritis
2. Seronegative Spondyloarthritis.
3. Ankylosing spondylosis
4. Fibromyalgia
I would order for the following investigations to isolate the cause:
1. Repeat ESR
2. R-Factor
3. Anti ccp antibodies
4. ANA
5. Liver and Kidney function test
6. Urine routine and microscopy
7. Xray Dorsal Spine
8. Vitamin D3 and Vitamin B12 levels.
This workup would eventually rule out all possibilities. Your treating doctor will know about these tests. An actual examination would actually help to rule out the condition in co relation with these investigations.
Consult a good physician there or a rheumatologist , discuss my
views with him , he may eliminate a few test based on clinical examination.
I hope I am able to answer your query , still if you have any query ask me.
Stay Healthy.
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.
Above answer was peer-reviewed by :
Dr. Prasad
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