What might be the reason for high ESR?

Hello,

Welcome to icliniq.com. Based on the information provided, the elevated ESR (erythrocyte sedimentation rate) indicates that there may be an ongoing internal issue, but it does not pinpoint the specific problem or its location. It could be related to an infection, inflammation, or low hemoglobin levels. To gain a better understanding of the current health condition, it would be helpful to know if there is a history of joint pains or cardiac problems. To provide a more accurate assessment, I would need to review all the reports, including the ESR value that is over 100, and perform a serum protein electrophoresis to rule out multiple myeloma. Additionally, if possible, please upload the chest X-ray. It's important to note that the search for the cause depends on the individual's medical history and symptoms rather than solely on the investigation results.

Hello,

Welcome back to icliniq.com. I had gone through all the details posted (attachment removed to protect patient identity). He has hypertension and feels very weak after walking. So, he needs to get a cardiac work up done. Kindly do fasting lipid profile, ECG and 2D echocardiogram, which will help to rule out any cardiac issue. Feeling tired of walking can be related to heart disease. Also, check SPEP (serum protein electrophoresis). ESR can be elevated in cardiac problems. Kindly let me know what blood pressure medications he is on. Decrease salt content in the diet and avoid pickles.

Hello,

Welcome back to icliniq.com. I had gone through the data posted. As you mentioned the BP as 180, it means that BP is not in good control on that medication. Kindly mention about this to his cardiologist when you go for an evaluation and discuss on modifying therapy.