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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I have pain and discomfort in the pelvic area, which aggravates while sitting. Kindly help.

Query: Hello doctor, I am a 48 year old male. My height is 160 cm, and weight is 84 kg. I have a pain and discomfort in the pelvic area which gets aggravated on sitting, lower back pain, irritation on peeing, burning sensation in the pelvic region which radiates at times to the leg. I have seen a urologist...  Read Full »


Dr. Ajit Kumar Varma

Answer: Hello, Welcome to icliniq.com. Your history suggests that you have a chronic mild to moderate inflammation of the pelvic organs, most probably the urinary bladder. The possibility of a chronic epididymo-orchitis also has to be ruled out. Please do get the following investigations: CBC (complete bloo...  Read Full »

Do I have to do surgery for the infection caused due to ACL reconstruction surgery?

Query: Hi doctor, I got an ACL reconstruction surgery done two weeks back. There was an infection in the operated site, so they did re-surgery and lavage, three days back. After this, physiotherapy was done for 10 days. So, the pain stopped, but there is still swelling in the knee. Today, the doctor asked ...  Read Full »


Dr. Lokesh

Answer: Hi, Welcome to icliniq.com. I have seen the attached reports and photo (attachment removed to protect patient identity). The knee looks to be still infected. Lavage needs to be done till the knee becomes normal and the ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) values drop ...  Read Full »

How to manage rheumatoid arthritis until I meet a specialist?

Query: Hello doctor, My primary care physician said that I may have RA. My ESR rate was 27, my CRP was 14.1 and my CCP antibody IgG was 500. What does this mean? I have heard a high CCP result could indicate more aggression in my RA, if that is what I have.  Read Full »


Dr. Divya Agarwal

Answer: Hello, Welcome to icliniq.com. Yes, the chances that you have RA (rheumatoid arthritis) or are developing it, are high. Anti-CCP antibodies are associated with RA and may also indicate an aggressive disease. However, there are various prognostic markers. This is only one of them. A high ESR and CRP,...  Read Full »

What causes sudden stiffness of the finger?

Query: Hello doctor, I am a healthy and active 34 year old female, with the sudden onset of a finger and thumb stiffness, one week ago. It is more like a dull ache. I am wondering what this could be.  Read Full »


Dr. Naval Mendiratta

Answer: Hello, Welcome to icliniq.com. Well, a sudden onset either looks like a nerve, joint or a blood vessel problem. I would like to ask you a few more queries: Where exactly is the pain, at the base of the fingers, the tip or all of it? Do all your fingers hurt or is it only the first and the second? Di...  Read Full »

I have red rashes all over my body, and it is more prominent in the belly region. Kindly help.

Query: Hi doctor, I am having red rashes all over my body for the past four days. The rashes are more significant in my belly region. I thought it was due to some allergy, but it is getting worse day by day. Kindly help.  Read Full »


Dr. Sugreev Singh

Answer: Hi, Welcome to icliniq.com I understand your concern. Your rashes can be due to allergies or infection. So, I suggest you do CBC (complete blood count) and ESR (erythrocyte sedimentation rate) to rule out the cause. Kindly take tablet Levocetirizine 10 mg once daily at night, ta...  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 »


Dr. Naval Mendiratta

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 any pain in the hands or feet? Do you have ulcers any...  Read Full »

Is my muscle twitching due to the rare autoimmune disorder GBS?

Query: Hello doctor, I am a 19-year-old male. And I have been experiencing muscle twitching in my hands and legs for more than three months. And I also have occasional chest pains. My feet are too cold even when I am in a hot shower. I had my Johnson and Johnson COVID-19 vaccine 16 days ago. I read abo...  Read Full »


Dr. Florilyn Joyce Bentrez-cabanilla

Answer: Hello,Welcome to icliniq.com.Thank you for the query.Kindly answer me the following to help you better;1) Do you have any weight loss?2) Do you have weakness in the hands and feet?3) Do you have difficulty in breathing? I suggest you do ESR (erythrocyte sedimentation rate), CRP (C-reactive protein),...  Read Full »

Kindly check my parent's health check-up results and advise.

Query: Hi doctor, Please check the attached annual health check-up results of my parents and advise if any medications are required. They already take cholesterol and blood pressure medicines.  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. All attached reports (attachment removed to protect patient identity) are normal, except reactive eosinophilia is present in your dad's report. Eosinophils are elevated in allergic conditions, certain skin disease, parasitic infection, etc. Is there any history of congest...  Read Full »

Why am I having itchy rashes and bumps on my skin at the time of periods?

Query: Hi doctor, I am a 31 year old female. I have rashes and bumps, that itch and look like they are big bites, but they are not. They come and go in different places and are more frequent around the time of my periods. I have had these bumps for seven months now. I am attaching a picture, what are thes...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query and saw the attachment provided by you (attachment removed to protect patient identity), and it appears that you have urticaria or hives in simpler terms. These usually occur when your immune system is a bit low such as during your periods, af...  Read Full »

I noticed tiny white lumps on the back of the throat. What is it?

Query: Hello doctor,I am a 27 year old female. Yesterday, I noticed little white lumps at the back of my throat. The one behind the palatopharyngeal arch is red, and another one on the back of my throat, on each side, which is red in color with little white things on them. What is it? I do not know how lo...  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. Here in your case, a step-wise approach should be considered. According to the history provided, you have red swelling on posterior pharynx with white dots over that. Hence, it could be a tonsillar enlargement or posterior pharynx mucosa swelling or a mass. It can be...  Read Full »

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