ESR, otherwise called erythrocyte sedimentation rate or sedimentation rate test, is a blood test that is done to detect the rate at which red blood cells settle at the bottom of a blood sample in a test tube. It is a non-specific test done to diagnose inflammation. This test is done to diagnose autoimmune conditions like rheumatoid arthritis and lupus, cancers, and infection.
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Query: Hi doctor,I am a 66-year-old female. I am suffering from hypertension and diabetes for 20 years. I have got an implemented stent a month ago. I am taking medicines for the all above I have mentioned. In my recent blood count, my WBC is 70000. Why? Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows. The white blood cell - WBC count is very high and so there is a need to look into the complete report, particularly the differential count. If neutrophils are high, possibly an infection. However, if the patient's physic... Read Full »
What causes of high white blood cell count?
Query: Hi doctor,I am a 29-year-old female. I am overweight. My regular doctor noticed my WBC has been high every single time he has drawn my blood. He even asked me to come back several times to double-check. It has been like this and climbing slowly for a year. He referred me to an oncologist. But in the... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query and report (attachment removed to protect patient identity), my opinion is as follows: A rising WBC (white blood cell) count in the absence of any infection, however mild is sometimes worrisome and that is being at present felt by your doctor. Mild ... Read Full »
Query: Hi doctor, My father-in-law is 58 years old. He had a stroke a year back and has been diagnosed with non-critical CAD. Within a period of two months, his WBC count has reduced from a range of 7.5 to 2.8. But, there is no sign of infection. The overall count of ANC is more than 1000 and platelets are... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my findings are as follows. Your dad is suffering from macrocytic anemia along with leukopenia (low-level WBC) and pancytopenia (deficiency of RBC, WBC, and platelet). There is only a slight decrease in the number of platelets, so you need not ... Read Full »
My blood test findings are PCV 50.60 %, RBC count 5.70 million per millimeters, hemoglobin 17.0 g/dl, and ESR 35 millimeters. Please help.
Query: Hi doctor, My blood test findings are PCV 50.60 %, RBC count 5.70 million per millimeters, hemoglobin 17.0 g/dl, and ESR 35 millimeters. I am taking tablet Cefuroxime 500 mg twice a day. Please help. Thanks. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I understand your concern. Your RBC (red blood cell ) count and PCV (packed cell volume) are borderline. But that might be due to dehydration caused by less fluid intake. Kindly provide any cardiac or respiratory cause, as it can lead to secondary erythrocytosis fin... Read Full »
Why is my son having a high fever and throwing up everything he eats?
Query: Hello doctor, My 2 year old son is suffering from fever. The temperature right now is 100.4 degrees. He is vomiting everything he is eating. Read Full »
Answer: Hello, Welcome to icliniq.com. It is a sore throat, most likely of a viral origin. But, a bacterial cause should be considered if there is a significant pain the throat. The investigations to be done are CBC (complete blood count) and ESR (erythrocyte sedimentation rate). I suggest the following: ... Read Full »
Does vasoconstriction occur due to an allergy to antihistamines?
Query: Hi doctor, I am having major vasoconstriction problems. I would like to know if my daily antihistamines intake is causing this problem. I am taking Loratadine and Fexofenadine hydrochloride daily for allergies. Read Full »
Answer: Hi, Welcome to icliniq.com. I would like to know in detail, what you mean by vasoconstriction problems? Is it affecting your hands or your feet or anywhere in the nasal bed? Do you experience any bluish discoloration of the nails or hands? Do you have any pain in the hands or feet? Do you have ul... Read Full »
Are my lymph nodes swollen due to an allergy to fried foods?
Query: Hi doctor,I am a 35-year-old male. I had a fever of 100.2 degrees Fahrenheit on the eighth of last month, which only lasted for a day. But the fever was followed by a few symptoms. After the fever, my lymph nodes at the back of my ear were swollen. I also had a sore throat and mouth ulcers. My body ... Read Full »
Answer: Hello, Welcome to icliniq.com. Are you still having enlarged lymph nodes? Are those painful to touch? Is the size still the same as when you observed first? Is there any change? Do you have any throat pain now? Was any throat swab test done? Any blood test? Any difficulty or pain while swall... Read Full »
I have chronic pain and tiredness for the past three years and, my ESR values are high. Please help.
Query: Hi doctor, I have been experiencing chronic pain, fatigue, weakness, dizziness, and discomfort for the past three years. I have a high ESR rate. Please help. Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your query and I am sorry for such discomfort. ESR (erythrocyte sedimentation rate) is a non-specific test that does not precisely help to locate the cause or problem in the body rather it gives clue that some kind of inflammation or infection is present in ... Read Full »
I am suffering from on and off wheezing. How to get cured?
Query: Hi doctor, I am 31 years old. My height is 5'5" and weight 68 kg. I am suffering from wheezing and finding difficulty with physical activities such as walking as well. I just moved to a new place recently. This onset of wheezing is sudden and I did not observe any trigger. But, dust, pollution and v... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. You seem to be suffering from acute bronchitis or a lower respiratory tract infection. So, I would advise in such scenario to get a hemogram with ESR (erythrocyte sedimentation rate) and chest x-ray done. If the chest x-ray and the blood i... Read Full »
There is a drastic decrease in my platelet count in the last five months. Why?
Query: Hi doctor, My hemoglobin level increased from 15 to 17, and platelet count decreased from 3.1 to 1.4 lakhs in the last five months. The only symptom I have is occasional skin itching. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. As your platelet count decreased over four months duration, chronic infection and drug history have to be ruled out first. If they are not causative then a detailed investigation plan should be decided according to the examinations as follows: ESR (erythrocyte sedimen... Read Full »