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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Done blood test. What is the problem if ESR is high?

Hi ! This is pratik mishra, I have my blood test report in front of me, Here I want to know some queries --- Haemoglobin 13.1 gm/dl Total Leukocyte = 6400 cell/cmm. Lymphocytes = 29% Monocytes = 01 % Basophils = 00 % Eosinophils = 09% And ESR 16mm in 1 Hours Abs Eosnophil Counts 825cells/ Please let me know If --- 1- ESR will high then what is the problem ? 2 - Monocytes = 01% then its ok or nor ? 3 - Lymphocytes = 29 % means Its high so what is the problem ? Provice me right suggestion, I am nerves about this
Mon, 26 Nov 2012
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Internal Medicine Specialist 's  Response
Hi Pratik,
Welcome to HCM.
Your Hemoglobin level is normal .
YOUR TLC and DLC you have missed one cell that is Neutrophil or Polymorph but no problem as other cells are there we can assume it must be 61%, Lymphocyte 29% and Eosinophil 9% . Your lymphocyte count may be due to any recent viral infection which you may have suffered.
A 9% Eosinophil is laso slightly high common causes are some kind of allergy or worm infestation.
ESR is 16 mm at 1 hour is to be corelated clinically and it has prognostic value, and needs to be corrected for anemia.
No need to be nervous every thing is fine please see your treating Physician and he will guide you what is to be done .
Take care
Good Luck.
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Dermatologist Dr. Praveen Rodrigues's  Response
Hi there Pratik.

Firstly, it is incorrect to let you believe that reading a report in isolation will give you a clear picture. In medicine, one has to take the patient as a whole & the overall picture is taken into consideration.

However, allow me to try to answer your issues & queries.

ESR stands for Erythrocyte sedimentation rate & is a non-specific test. When high, it indicates usually a long standing or chronic inflammatory state. It cannot be read in isolation. It has a lot of false positives eg..pregnancy, chronic illnesses etc.

Monocytes 01 is OK :)

Lymphocytes 29% does not necessarily mean itis high & not indicative of any specific problem.

No need to be 'nerves' about all this..just go your physician who ordered these lab tests & or a GP near you & review with your clinical symptoms. Am sure all will be sorted out in due course.

Cheers & wish you good health!@

Dr Praveen Rodrigues MD
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