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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Is psoriatic arthritis considered a disability?

Query: Hello doctor, I told my dermatologist I probably have psoriatic arthritis. I have knee pain that I take Advil to get through the day at work. I was also told to get on Cosentyx, but it is too expensive for me. What other options do I have?  Read Full »


Dr. Naval Mendiratta

Rheumatologist

Answer: Hello, Welcome to icliniq.com. Well, it is a possibility that your knee is getting affected by psoriatic arthritis, but we should also rule out underlying osteoarthritis priorly, for which an x-ray would be sufficient (if they have done it, you can attach the reports). Secondly, I would like to kn...  Read Full »

My 3-year-old child is suffering from a lump on the neck. Kindly help.

Query: Hi doctor, My 3 year old child has a lump on the right side of his neck. We had observed this a few months back and it has increased a little in size right now. At present, he is having fever since two days. The pediatrician has advised to control temperature through medicines for three days and the...  Read Full »


Dr. Babu Lal Meena

Child Health Specialist, Family Physician, General Practitioner, Medical Gastroenterologist, Paediatrician

Answer: Hi, Welcome to icliniq.com. It is not a big issue most of the time. These lumps if less than 1 cm size is a normal part of the body. We see unusual lumps in the case of tuberculosis and it does not appear in your case. If it is not increased much, only one in number and less than 1 cm with soft in...  Read Full »

I tested positive for RNP antibodies. Can I have MTCD?

Query: Hi doctor, My physician told me that my autoimmune blood test revealed a positive RNP result. I am looking for reassurance that this result is not indicative of MTCD. I am very scared.   Read Full »


Dr. Naval Mendiratta

Rheumatologist

Answer: Hi, Welcome to icliniq.com. These antibodies show a positive result even when the patients do not have any symptoms. Apart from antibodies, we need to check ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), complete blood count, and liver function test. Please update the history and ...  Read Full »

My grandfather suffers from shoulder pain and wrist pain. How to help him?

Query: Hi doctor,My grandfather is 75 years old. He has severe pain in his right shoulder joint and bilateral wrist joints, especially more at night for the past two months. Just before a month, he was diagnosed as diabetic. His C-reactive protein level is 64 (reference value 0-6). Is it possible to have s...  Read Full »


Dr. Divakara P

Diabetologist, Endocrinologist, General Medicine Physician, Internal Medicine Physician, Pain Medicine Physician, Pulmonologist

Answer: Hi, Welcome to icliniq.com. It could be either due to arthritis or as a consequence of viral infection in the recent past. I recommend him to get the following tests done and revert back with reports. CRP (C-reactive protein), ESR (erythrocyte sedimentation rate), serum uric acid, serum RA factor (...  Read Full »

I am getting radiating right hip pain. Is this due to psoriatic arthritis?

Query: Hi doctor, I am 26 years old. Since a week, I am getting pain in the right leg hip and sometimes, extending till right knee and calf muscle. I feel that something is trying to project on the left side.  Read Full »


Dr. Akshay Kumar Saxena

Orthopaedician And Traumatologist, Spine Surgeon

Answer: Hello, Welcome to icliniq.com. I can understand from your query that you are experiencing some hip pain with radiation till knee region. Where exactly are you feeling some projecting swelling? Also, since this is only a week old story, there is no need to worry especially if there is no history of i...  Read Full »

My son has fever and vomited his malaria medicine. What to do?

Query: Hi doctor, My son (2 years 8 months) was hospitalized due to fever along with a sand paper kind of rashes in the body for four days. He was suspected of dengue and the initial blood test showed IgG positive. Herewith I am attaching the discharge summary and all other reports. After getting discharge...  Read Full »


Dr. Faisal Abdul Karim Malim

Child Health Specialist, Paediatrician

Answer: Hello, Welcome to icliniq.com. Children vomit after giving malaria medication (Chloroquine). If the child has vomited the medicine immediately after consumption that dose is missed. Hence, it should be repeated. I suggest syrup Emeset (Ondansetron) half an hour before giving the medication....  Read Full »

What to do for spinal and lower back pain?

Query: Hi doctor, I struggle with spinal and lower back pain for the past four years. It radiates through my ribs. Only I feel great when I have a sleep for four to six hours and I wake up after a few hours due to the excruciating pain. I am so stiff and I can move. I have pulsating pain and I feel like e...  Read Full »


Dr. Nupoor Acharya

Rheumatologist

Answer: Hi, Welcome to icliniq.com. These symptoms can be due to ankylosing spondylitis or spondyloarthropathy. It is an inflammatory arthritis that primarily involves the spine, ribs, and hip joints. These symptoms usually become worsen with rest and it improves with activities. They are associated with ...  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 »

What can be done for chronic dry cough?

Query: Hi doctor, I am a 24 year old female. I am suffering from cough for almost a month and my abdomen is paining badly due to cough. The cough gets so severe and I end up vomiting, be it early morning or night. I consulted the doctor and was diagnosed with chronic cough. I followed the medicine and it o...  Read Full »


Dr. Abhishek Dixit

Nephrologist, Internal Medicine Physician, General Medicine Physician

Answer: Hi, Welcome to icliniq.com. Chronic cough for more than three weeks needs evaluation. I would recommend to check CBC (complete blood count), ESR (erythrocyte sedimentation rate), Mantoux test, chest x-ray, ECG and serum creatinine levels. Chronic GERD - gastroesophageal acid reflux symptoms...  Read Full »

How to cure my skin rashes?

Query: Hi doctor, I have rashes similar to the rash of SLE, swollen, painful and redness around the eyes, severe fatigue and muscle weakness. These symptoms occurred a few months back after I had an intestinal infection. The doctors suspected it to be dermatolysis too, thus having a skin biopsy done tomorr...  Read Full »


Dr. Naresh Kumar Monigari

General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. The reports suggest that you are probably having an autoimmune disease. For an exact diagnosis, ANA (antinuclear antibody) global or ANA profile test report and skin or muscle biopsy would be required to avoid any controversies in the future. I also need to know the follo...  Read Full »

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