Recently Answered Questions
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I have been experiencing chronic fever. Please help.
Query: Hello doctor,I am 17 years old, weigh 121 pounds, and am 5.3 feet tall. I have been experiencing low-grade fever for six months. My IGRA test came back positive, but my sputum test was negative, and my CT scan showed normal results. Currently, I am experiencing a fever multiple times daily, around 1... Read Full »
Answer: Hello,Welcome to icliniq.com.The interferon-gamma release assays (IGRA) test is unable to differentiate between latent and active tuberculosis (TB) infection, essentially distinguishing between infection and disease. Just because you are infected with TB does not mean you have the disease, which is ... Read Full »
Can I have increased ESR while having a cough and cold?
Query: Hello doctor, I am 48 years old. My recent blood report shows high ESR level. I am having cough and fever in the evening. Doctor told me that I am having bronchitis and has given me antibiotics as well as cough syrup. I am sending you my x-ray and blood test report for verification. Please guide. Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen your reports (attachments removed to protect patient identity). Based on your reports, I do not think you have bronchitis (inflammation of bronchus) or it may be in its initial stage where chest x-ray may be clear. But, I would like to keep it as throat infe... Read Full »
My CRP and ESR levels are high. Kindly help.
Query: Hi doctor,I am getting a fever every day. But, every day the fever occurs and goes to a maximum of 100 degrees, and it gets back to the body temperature without any medications. It is repetitive. I have done a few blood tests and am attaching the reports. I have found out that my CRP and ESR is very... Read Full »
Answer: Hi, Welcome to icliniq.com. It is likely a viral fever only as it settles within four to five days. ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) are usually elevated due to viral fever or any other fever. As it gets recovered within four to five days without any antibiot... Read Full »
Query: Hello doctor, I had a blood test two weeks ago, and my ESR (erythrocyte sedimentation rate) was 1 mm/hr. My hemoglobin level was 17.1 g/dL, and my hematocrit was 51.2 percent. I checked on the internet that low ESR is related to polycythemia vera. As I got high hemoglobin and hematocrit, the chance... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I can understand your concern. It is important to note that polycythemia is not diagnosed solely based on ESR. Dehydration can also lead to low ESR. According to the world health organization criteria for polycythemia, hemoglobin should be greater than 18.5 gm /dl. An... Read Full »
Query: Hello doctor, Can the ESR level fluctuate from 25 to 52 mm/hour within one day? My wife is 31 years old and had body pains, so the doctor suggested she go for an ESR blood test. Last week her ESR level report was 25 mm/hour, and the next day from another lab, her ESR report was 52 mm/hour. She is no... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Most likely, either of the two is false. ESR (erythrocyte sedimentation rate) can rise this much, but the patient must be that serious and symptomatic, which is not our case. So it is likely a false one. It would help to repeat it from a r... Read Full »
My CRP levels are high. What could be the reason?
Query: Hello doctor, I am a 30-year-old male. My laboratory 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. E... Read Full »
Dr. Goswami Parth Rajendragiri
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) does not 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 CR... Read Full »
I have a constant rise in WBC and lymphocyte levels. Why?
Query: Hi doctor, What can be causing a chronic elevation in WBC? I did some blood tests last week, and the results showed a moderately elevated WBC of 14.91 with an increased absolute count of neutrophils and lymphocytes. All other elements of the complete blood count are within the normal range. Before ... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. There are a couple of findings: high WBCs (white blood cells) and raised CPK (creatine phosphokinase). High WBCs are found in infections (especially asymptomatic viral or urogenital tract infections), physical stres... Read Full »
Is low iron, hemoglobin, and hematocrit in blood tests indicative of anemia?
Query: Hi doctor, I need an interpretation from a hematologist on recent laboratory results. I am feeling fine, but results show low iron, hemoglobin, hematocrit, etc. I have copies of three recent reports from different laboratories. Also, I donated blood twice in the last and the previous month. I am no... Read Full »
Answer: Hi, Welcome to icliniq.com. I hope you are safe and sound in the pandemic. I reviewed all of your investigations in the past couple of months (attachments removed to protect the patient's identity). 1) You have developed iron deficiency which later leads to anemia (low hemoglobin). 2) You donated bl... Read Full »
Is there a health concern if a 5-year-old has Hb 10.3?
Query: Hello doctor, A 5-year-old girl's baby blood report is Hb 10.3, platelets count 5.86*10^3 per microliter of blood, PCV 30.9 %, ESR 75 mm per hour. Please, can you tell me what is the problem? Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. ESR (erythrocyte sedimentation rate) is a non-specific marker and raised in any inflammation, infection, etc., like condition. So, rule out any infection or inflammatory foci if present as the total leukocyte count is also high. For that, physical examination and au... Read Full »
What is the reson for high Erythrocyte Sedimentation Rate (ESR)?
Query: Hi doctor, My father is 72 years old. His ESR is 102. All kidney, liver and hemoglobin are in the range along with clear chest x-ray. Recently, he had right ribs and collar bone fracture. Also, he was diagnosed to have hemopneumothorax and chest tube was given for that. What may be the possible cau... Read Full »
Answer: 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 hemoglo... Read Full »