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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is ESR And What Is My Mother Suffering From?

hello sir
my mother is having back pain since 3days.we went to doctor. Reports are


Haemoglobin : 12gms% (Male:13 - 16gms% , Female: 12 - 15gms%)

Total WBC count : 11300/cmm (4000 - 11000/cmm)

Differential count

Neutrophils : 50% (40 - 75%)
Lymphocytes : 41% (20 45%)
Eosinophils : 05% (01 - 06%)
Monocytes : 04% (02 - 10%)
Basophils : 00% (01 - 02%)
E.S.R : 130mm 1st Hour ( 0 - 8mm 1st Hour).

Complete Urine Examination
...........................................

Phsical Examination
Volume : -----
Colour : Pale Yellow
Appearance : Clear
Odour : -----
Ph : Acidic
Specific Gravity : 1.015

Chemical Examination
Protein : Nil
Sugar : Nil
Ketone Bodies : Negative
Blood : ---------
Bile Salts & : Negative
Bile pigments : Negative
Uro Bilinogen : ------

Microscopic Eamination

Epithelial cells : 1 - 2 / HPF
Pus cells : 3 - 5 / HPF
RBC : Nil
Casts : Nil
Crystals : Nil

prescribed Medicines

1)Depomedrol Injection.............he injected this on the bone of backside
2)Oflox oz .......tablet for 15days
3)Katadol ..........tablet for 15days
4)Esomac........gas trouble....tablet for 15days

my question is............what is the actual problem she is suffering from.......what is the meaning of " E.S.R : 130mm 1st Hour ( 0 - 8mm 1st Hour) " ................is there any serious problem.......
she regularly takes Anxit,Nebicard,Protheden tablets.Her age is 54years.
Tue, 1 Jul 2014
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Geriatrics Specialist,  's  Response
Hi,
ESR is very high. 130 mm/1st hour usually needs to be evaluated for any serious inflammatory condition.
As the protein in urine is nil, I would not think of any serious problem for now.
With her age, back pain and ESR I would strongly suspect more of a malignant disease like multiple myeloma or a chronic inflammatory disease maybe tuberculosis.
The pain should get subsided with depomedrol injection.
Discuss with your doctor regarding the diagnosis made and ask for further investigations like serum electrophoresis or bone marrow aspiration biopsy to rule out multiple myeloma.
Any further queries, happy to help again.
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What Is ESR And What Is My Mother Suffering From?

Hi, ESR is very high. 130 mm/1st hour usually needs to be evaluated for any serious inflammatory condition. As the protein in urine is nil, I would not think of any serious problem for now. With her age, back pain and ESR I would strongly suspect more of a malignant disease like multiple myeloma or a chronic inflammatory disease maybe tuberculosis. The pain should get subsided with depomedrol injection. Discuss with your doctor regarding the diagnosis made and ask for further investigations like serum electrophoresis or bone marrow aspiration biopsy to rule out multiple myeloma. Any further queries, happy to help again.