C-reactive Protein

C-reactive protein is a substance produced by the liver during inflammation. A C-reactive protein test helps to assess its level in the blood. It seems to be in low levels in normal individuals. It seems to be high when having bacterial infections, fungal infections, inflammatory bowel disease, and during infection affecting the bone. It seems to be high in other conditions such as smoking, obesity, and lack of exercise.

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Is it normal to get an episode of vertigo when the cholesterol and blood pressure levels are high?

Query: Hi doctor, I am a 26 year old male, and I work as an engineer for a consultancy firm. A few weeks back, I noticed that my blood pressure is slightly on the higher side. I checked my BP every day at night for about 2 to 3 weeks and found that 90 % of the time, it is in the range of 135 to 150/80 t...  Read Full »


Dr. Amiya Kumar Chattopadhyay

Answer: Hi, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient identity). You BP (blood pressure) is on the higher side as per current international guideline. It may be due to persistent anxiety. Cardiac pain is mostly seen as central chest pain and increases on exer...  Read Full »

My father has a persistent fever after first chemotherapy session. Is it due to CLL?

Query: Hello doctor, I would like to enquire about my dad's health. He is 82 years old and has been having chronic lymphocytic leukemia for the past seven years. He had no symptoms other than the high blood cell count and was doing regular checkups every six months. Recently, his hemoglobin level dropped a...  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to the icliniq.com. You have mentioned in the history that the patient is having chronic lymphocytic leukemia. And the total count is high, as per history. So, chronic lymphocytic leukemia seems to be in the aggressive stage. Blood culture and other scan reports are normal as per hist...  Read Full »

What does polymorphonuclear leukocytosis in the blood indicate?

Query: Hi doctor, My grandfather is an 80-year-old male and is suffering from fever for the past eight days. Fever is nearing 100°F and usually occurs during night hours. He has taken tablet Doxycycline one time a day for two days and tablet Azithromycin once on the third day. Also, he is not taking m...  Read Full »


Dr. Satyajit Jalinder Pawar

Answer: Hello, Welcome to icliniq.com. I have gone through your query, and I would like to know few details to decide on what to do next. 1) Does he have any other illnesses like diabetes or blood pressure or asthma? 2) Is he on any other medication? 3) Any other symptoms than fever like urinary compla...  Read Full »

What does my CRP level indicate?

Query: Hello doctor, I am a diabetic patient aged 54, and I am tested positive for COVID-19 with a CT score of 10. I got my D-dimer, and the CRP test is done. While my D-dimer is in the range of 0.01, my CRP level is quite high at 130.80. I have been recently taking all the medicines prescribed for COVID-...  Read Full »


Dr. Arun Gangadhar

Answer: Hi, Welcome to icliniq.com. You still have a fever that means either you are still infected with COVID-19, or you could be having a secondary bacterial infection. You do not have any shortness of breath, and SpO2 (oxygen saturation level) is in the range of 96-99 %, so you do not have a severe C...  Read Full »

What can cause sudden multiple joint pain in the morning?

Query: Hi doctor, I am a 20-year-old female. Two days back, I started to have slight pain in two different joints. After waking up in the morning, my joint pain was awful. Finally, I waked up with severe pain today morning. I cried a lot. I do not have any arthritis. What is the cause? Do I need to consul...  Read Full »


Dr. Santosh-kumar Bashyal

Answer: Hi, Welcome to icliniq.com. You have sudden pain and swelling in the joint. It is a sign of acute inflammation of joints. You seem to have rheumatoid arthritis. It is a common problem causing multiple joint pain. For now, do RICE (rest, elevation, and ice compression) on the affected area. I s...  Read Full »

Is Humira prescribed for RA?

Query: Hi doctor, One year ago, I was diagnosed with RA. I believe that there is more going on. I am currently taking Methotrexate 20 mg once a week, Folic acid 1 mg daily, Hydrochlorothiazide 25 mg daily and Cyclobenzaprine 10 mg twice a day. Also, I just began taking Celecoxib 200 mg for pain. I saw the ...  Read Full »


Dr. Prakash H Muddegowda

Answer: Hi, Welcome to icliniq.com. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: The C-reactive protein level is highly elevated indicating ongoing high level of damage in the tissues of the body. Now, the immediate need is to reduce inf...  Read Full »

What is your opinion about my general blood test report?

Query: Hello doctor, I recently took a general blood test. I request you to go through my blood test report and give me suggestions. Especially, I would like to mention about high-sensitivity C-reactive protein (hs-CRP) using nephelometry mg/L, where the reference range is 4.69. Any of your proposals wil...  Read Full »


Dr. Rishu

Answer: Hi, Welcome to icliniq.com. I have gone through all your reports in details (attachment removed to protect patient identity). Most of the work up is perfectly normal, except a few borderline elevations in LFT (liver function tests), which are not significant. You CRP is very high. CRP is a marker...  Read Full »

Is my lower abdominal pain pointing towards Crohn's disease?

Query: Hi doctor, I had severe abdominal pain with diarrhea a month back. The next day pain subsided, but slight discomfort was there for two weeks. Then, I went to see the doctor who prescribed Flagyl and Rifamixin. The lower abdominal discomfort did not disappear and the stool has not formed yet. Then r...  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to icliniq.com. I went through your report (attachment removed to protect patient identity) and post, the thing which is favoring Crohn's disease is normal biopsy colonoscopy. You need to do ASCA (anti-saccharomyces cerevisiae antibodies) and a CT enterography. Your CRP (C-reactive ...  Read Full »

Will high platelet count cause a blood clot or stroke?

Query: Hello doctor, My mother has high WBC count of 15,000, platelet count of 5,40,000, and hemoglobin at 11.2. Her ESR is 86, and CRP is also similar. She has a fever, which rises in the evening to 101. Can you please tell me what this denotes? Also, will the high platelet count cause a danger for a bl...  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. High platelet count will not lead to thrombosis in the body. Do not worry about that. High platelet is because of reactive thrombocytosis, and that can occur in bleeding, anemia, infection, inflammation, etc. You have an ulcer in the colon, and it seems to be ulcerative...  Read Full »

Please suggest medicine for stiffness caused by ankylosing spondylitis.

Query: Hi doctor, I have been diagnosed to have ankylosing spondylitis approximately 2 years back. I also had psoriasis, probably due to the same and it is chronic. Of late, there is extreme pain and even more stiffness, especially during the morning. It is no more tolerable and hence I am writing this. ...  Read Full »


Dr. Sumit Chawla

Answer: Hello, Welcome to icliniq.com. Here are the answers to your questions. You have been diagnosed as a case of ankylosing spondylitis with psoriasis. Both the condition will affect your joints. Ankylosing will affect mainly axial skeletal joints. Psoriasis mostly affects peripheral joints and is of ...  Read Full »

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