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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes rise in sedimentation rate and headache?

My first sed-rte came back @ 46, the next 56, & yesterday 70. My Dr. did another one yesterday & I'll find out on Tues. I had severe headaches @ first, then another Dr. did a bilateral temporal biopsy & found nothing, but the headache which I had for over a month is now gone. It was so bad they were giving me percoset which helped a little? They also found out I have ulcerative colitis, what does all this mean?

Mon, 29 Dec 2014
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
Raised ESR level is not a disease but an indication of an underlying chronic disorder.
Associated headache raises possibility of temporal arteritis.
Temporal arteritis is characterized by inflammation of vessel wall of temporal artery.
Definitive diagnosis of temporal arteritis can be made after biopsy of the vessel wall.
However, the biopsy is negative for evidence of temporal arteritis.
Ulcerative colitis is a chronic autoimmune disorder which can also cause raised ESR.
ESR responds to treatment of underlying disease.
Thus, treatment for ulcerative colitis will improve the ESR levels.

Thanks and take care
Dr Shailja P Wahal

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