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Dr. Andrew Rynne

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What is an ESR test?

Answered by
Dr.
Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3072 Questions

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Posted on Fri, 16 May 2014 in Medicines and Side Effects
Question: what is an esr test? wen is it done.my fathers test shows the value as 76 in the report
doctor
Answered by Dr. Anshul Varshney 2 hours later
Brief Answer:
I need further details.

Detailed Answer:
Dear Friend
Welcome to HealthcareMagic. I am Dr Anshul Varshney. I understand your concern.
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 further details regarding this high ESR. ESR Of 76 mm/hr is high.
I would like to know:
1. What problems made home undergone testing?
2. Any fever?
3, Any Joint pains? rashes? frequent redning of eyes?
4. Any oral ulcers?
5. Any cough and expectoration?
6. Any history of diabetes and hypertension.
7. Any other chronic illness.
8. Do attach his all reports here.

Revert me with these answers preferably point wise, so that i can help you in making the possible diagnosis.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney 1 hour later
please find the answers below:-
1. my dad had visited a doctor for gout pains.the doc had askd to do the test
2.no
3. gout pain
4. no
5. no
6. hypertension
7. no
doctor
Answered by Dr. Anshul Varshney 1 hour later
Brief Answer:
Could be Rheumatoid arthritis

Detailed Answer:
Dear Friend.
You need to understand that high ESR of this level is not a classical feature of gout.
Also his uric acid levels are normal. We should reconsider the diagnosis of Joint pains.
Tell me which join ts are affected with pain?
Any pain in small joints of hand?
Any morning stiffness?

I am considering the diagnosis of Rheumatoid Arthritis because in that condition ESR can be so high.
If you have his any other old investigations too please attach them.
Stay Healthy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Anshul Varshney 15 hours later
no pain in hand.the pain is around the foot thumb joint.I am attaching the older report.
doctor
Answered by Dr. Anshul Varshney 1 hour later
Brief Answer:
Get Investigated

Detailed Answer:
Dear Friend.
In the reports you have attached, no reading of Uric Acid is significant to cause and treat gout.
ESR is a problem.
Let me brief you most common causes of High ESR:
1. Any Infection including Pneumonia and Tuberculosis
2. Connective Tissue Disorders including Rheumatoid Arthritis.
3. Vasculitis

He definitely need further work up:
1. Repeat Hemogram with ESR
2. KFT and LFT
3. X ray Chest
4. Ultrasound Abdomen.
5. R-Factor.

This high ESR requires investigations, so i am suggesting you. Also would advise you to get them done from an authentic lab.
Get the investigations and Review with me again.
If you have any further query, please ask me, else close the discussion and rate it.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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