My wife's blood report shows abnormal monocytes and ESR. Is this cause for concern?

Q. The monocytes and ESR values in my wife's hemogram report are abnormal. Why?

Answered by
Dr. Rathee Rahul
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 28, 2017 and last reviewed on: Aug 17, 2023

Hello doctor,

Me and my wife got an annual blood test done. Few of my wife's results are off the radar. She is 30 years old, and she had a mild cough when the tests were done. She becomes tired very easily. In the attached hemogram report, her monocytes are 0 and ESR is 80. Rest of the tests including thyroid, liver function tests, ECG, and lipid profile seem to be normal. Is this a cause for concern?



Welcome to

I can understand your concern, but after a detailed evaluation of your wife's reports (attachment removed to protect patient identity), I would say there is nothing to worry. Only monocytes levels are low, it does not mean much. It does not cause anything serious if the other counts are within the normal range, which is, in fact, your wife's case. ESR (erythrocyte sedimentation rate) is a very non-specific test and is not of much significance. However, it is still done routinely to rule out tuberculosis along with some other tests. I would advise you, obviously just as a precautionary measure and not as a matter of concern, is to get the following tests done to rule out tuberculosis:

  1. Sputum examination for AFB (acid-fast bacillus).
  2. CT scan of the chest.
  3. Mantoux test.

As soon as you get the reports, please send it to me for evaluation. Do not worry and take care.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
There was blood in the spit. What might be the reason?

I consulted a dentist and then a chest specialist, who advised bronchoscopy and sputum tests ... The most common causes of early morning blood in the sputum are: Chest infection or tuberculosis .   Read full

Do I need to get a lung biopsy to confirm bronchiectasis?

Also, some chest physiotherapy exercises will help to expel the mucus out of your chest to relieve dyspnea ...   Read full

Am I suffering from tuberculosis? Please clarify from my CT report.

Hello doctor, My recent chest x-ray showed some suspicious infiltrates in the lung ... I got two CT scans done for both neck and chest   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask a General Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.