HomeAnswersGeneral Practitionererythrocyte sedimentation rateCan I have increased ESR while having a cough and cold?

Can there be high ESR level while having cough and fever?

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Can there be high ESR level while having cough and fever?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At August 17, 2017
Reviewed AtFebruary 6, 2024

Patient's 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.

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 infection in differential diagnosis. Since your x-ray is clear which otherwise has increased bronchovascular markings in bronchitis and also your blood reports are normal except high ESR (erythrocyte sedimentation rate) which suggests some inflammatory process in the body. Continue with your medication, because fever and cough suggests infection. Take steam inhalation three to four times a day. I hope I have answered your question. Let me know if I can assist you further. Regards.

Patient's Query

Thank you doctor.

Can you please clarify what is the other inflammatory process you mentioned? How to find them?

Hi,

Welcome back to icliniq.com.

There are many possible causes for an elevated ESR (erythrocyte sedimentation rate). ESR is a non-specific marker. It is increased in infection, inflammation, autoimmune disorders like rheumatoid arthritis, SLE (systemic lupus erythematosus), tuberculosis, connective tissue diseases and many more diseases. Please do not worry about it. I advise you to complete the course of antibiotic and repeat ESR with complete blood count. If after treatment ESR is still raised then depending upon your symptoms other investigation will be done. I hope this helps. Thank you and take care. Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Srivastava, Sumit
Dr. Srivastava, Sumit

Internal Medicine

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