Esr

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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Why do my reports show low hemoglobin and high platelet count?

Query: Hi doctor,My platelet count is going higher and hemoglobin is getting low. I feel sick. My report showed platelet count 5,85,000 and Hb 10.6. What could be the reason?  Read Full »


Dr. Prakash H Muddegowda

Geriatrician, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Mild bleeding or ongoing inflammation could be a cause. Any blood in stools or tarry stools or if there is any fever, then it requires evaluation. You need to check ESR (erythrocyte sedimentation rate) and C-reactiv...  Read Full »

How to reduce calprotectin in Crohn's disease naturally?

Query: Hello doctor, How to reduce calprotectin for Crohn's disease naturally? My cousin has been diagnosed with Crohn's disease three months back. Earlier, he had diarrhea, but now he is more controlled with foods, and there are no symptoms. But the calprotectin test resulted as 305 ug/g. His ESR and CRP...  Read Full »


Dr. Ishwar Chandra Rai

Ayurveda Specialist

Answer: Hello, Welcome to icliniq.com. I can understand your concern. It is very common to high level of calprotectin in stool. Because Calprotectin is a protein released by a neutrophil during inflammation in gastrointestinal tract. Crohn's disease is an inflammatory condition that is why Calprotectin i...  Read Full »

My CRP levels are high. What could be the reason?

Query: Hello doctor, I am a 30-year-old male. My lab results suggest, 1. Normal CBC, ESR, kidney function, and liver functions. 2. Normal CT scan on the brain. 3. I am not diabetic and do not have blood pressure or heart disease. 4. I am negative for all the virus A, B, C and HIV gen 1,2 and 3. 5. El...  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to the icliniq.com. The CRP (C-reactive protein) raised in case of any inflammation in the body. ESR (erythrocyte sedimentation rate) doesn't need to be always increased when CRP raised because ESR is a non-specific marker of inflammation. It is not as much sense as like that of CRP...  Read Full »

I have swelling and pain in DIP joints. Why?

Query: Hello doctor,I have had pain and a tiny bump on right pinky (DIP) for over six months, only when I touch it. Now I have slight stiffness in two other DIP joints and one PIP joint (same R hand which I use a lot on the computer, maybe two hours a day). Also one DIP joint other hand. It got much worse ...  Read Full »


Dr. Naval Mendiratta

Rheumatologist

Answer: Hi, Welcome to icliniq.com. Well, as per your clinical history and symptoms it does look like nodal osteoarthritis of the hands. My point in favor: 1. DIP joints are never involved in rheumatoid arthritis. If they are inflamed we have to think of alternative diagnosis. Either OA or psoriatic arth...  Read Full »

Is hemoglobin level of 5 dangerous for a 59-year-old patient?

Query: Hello doctor, My mother is 59 years old. She has hemoglobin 5 and iron 7. Is it dangerous?  Read Full »


Dr. Sumit Srivastava

General Medicine Physician, General Practitioner, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. It is not dangerous but a serious problem. Normal level of hemoglobin for woman is 12 - 16 g/dL. As your mother's hemoglobin level is 5, it is a very low value and an alarming sign for blood transfusion. Low hemoglobin can lead to general fatigue, weakness, pale ski...  Read Full »

What does a lump under collar bone on right side mean?

Query: Hello doctor, I consulted two doctors regarding a lump that I could feel above my left collarbone, whenever I strain or turn my neck. Both the doctors said that it was just a prominent tendon, but gave me an ultrasound to ease my mind. The ultrasound said 'there is a 6 by 4 mm hypoechoic nodule in ...  Read Full »


Dr. Uphar Gupta

General Medicine Physician, Internal Medicine Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. There is a lymph node in the left supraclavicular region called as Virchow's node. If enlarged, it may indicate a malignancy of the abdominal region as that is the draining pathway of the lymph from that area. A lymph node from cancer is generally very hard to palpa...  Read Full »

Why Am I Experiencing Ankle Pain After Two Years Of Arthroscopic Surgery?

Query: Hello doctor, About two years back, I had an arthroscopic surgery (OCD MTD) for my ankle because of a previous injury. At first, my ankle got better, but now it is starting to get worse. As I am experiencing a lot of pain and difficulty in walking, I got an MRI done. Please see the results. Can you ...  Read Full »


Dr. Akshay Kumar Saxena

Orthopaedician And Traumatologist, Spine Surgeon

Answer: Hi, Welcome to icliniq.com. As you have only mentioned about the arthroscopic ankle surgery and have not provided the details, it is difficult to comment on your problem. I do not have the details of what surgery was done in your case as in was there an attempt to fill the defect. So, it will be bet...  Read Full »

Does recurrent high fever cause any serious issue in old people?

Query: Hi doctor, My father suffered from high fever over last week and he was alright. But today again he is feeling a mild rise in his temperature. Is this anything serious?  Read Full »


Dr. Muhammad M. Hanif Md.

Cardiologist, Criticalcare Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I want to assure you that do not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns.  Read Full »

Generalized itching gets relieved on taking Cetirizine but recurs. Please help.

Query: Hi doctor, I have itching problem in the whole body since last six months. When I take the Cetirizine tablet for this then it is fine for 4 to 5 days after that it again occurs.  Read Full »


Dr. Shalini Patodiya

Dermatologist, Venereologist, Cosmetologist, Family Physician, Hair Transplant Surgeon

Answer: Hello, Welcome to icliniq.com. It seems you have chronic urticaria. In more than 50 % of cases, the cause is unknown. The rest of the patients it can be due to any infection anywhere in body or thyroid problems or diabetes, etc. I suggest you get the following tests done. CBC with ESR, S.TSH, S.T3...  Read Full »

Why is there lymph node enlargement under chin and groin in a child?

Query: Hello doctor, My 2-year-old female child has mild lymph node enlargement under the chin and groin. She had a fever. Her weight is 8 kg. Peripheral smear showed mild degree aniso-poikilocytosis. Her hemoglobin is 12. She has a minimal fullness of renal pelvic calyceal system (USG). Is there anything...  Read Full »


Dr. Koushik Mukherjee

Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. Recurrent fever with lymphadenopathy sometimes indicates chronic infection like tuberculosis. If ESR (erythrocyte sedimentation rate) is normal and the fever subsides, this may be a remote possibility. A mild fullness of pelvicalyceal system sometimes indicates mild obs...  Read Full »

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