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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes high sedimentation rate in a child after tonsillectomy?

Does it cost to ask? My daughter who is 6 now had a septic hip last November. She had problems with granuloma that wouldn t leave and infected. They redid the surgery a month ago. When she was first in the hospital her sed rate was 34. They were down and she just had her tonsils out yesterday. I asked the doc last week when they were drawing her blood to check her sed rate again. They normally don t, but I thought they should double check to be safe. She told me yesterday after surgery, her sed rate is back up to 30. Should I be concerned? She seems healthy but has had dark eyes and redness around and weird skin problems since before her septic hip. They tested her at one point for leukemia and had to get a medical specialists opinion because her rates were hight but not too high. They deemed her fine but said to watch her levels and sometimes cancers can show up later when a kid seems fine. I am a little concerned about the rates being high, but not too much at this point. Do you think it could be from her tonsils? She is 42 pounds
Thu, 24 Aug 2017
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Pediatrician, Pulmonology 's  Response
Hi...ESR is just an acute phase reactant. Even the tonsillectomy surgery would have raised it. Even otherwise 30 is not a high ESR value. It is a very very nonspecific test and doesn't mean anything unless it is above 70 and nearing 100. I suggest you not to repeat it unless the kid has got any symptoms.

Regards - Dr. Sumanth
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