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Female | 33

What Medication for Elevated ESR Levels?

i just had my full body checkup and in the report my esr level is high which is 52 and the c reactive protein is 4.6 so what should i do or which medicine should i take for elevated esr?

1 Answer

Answered on 10th Oct '24

High ESR (erythrocyte sedimentation rate) and CRP levels can indicate inflammation in your body. Common causes include infections, autoimmune diseases like lupus, and certain cancers. It’s important to work with a doctor to find the right solution and address the root cause. Treatment will depend on the underlying condition and may involve medications, lifestyle changes, or further testing.

3 people found this helpful

Questions & Answers on "Hematology" (192)

So my friend has her blood test done recently as she was having low fever, cough, shivers and vomitings. The report showed that she has 57.03 U/dl of CRP after the medication as well it continued to increase to 74.03 CRP although the symptoms such as fever, cough, shivers and vomitings have reduced just wanted to know if such levels of CRP are severe and life threatening or not cause we are worried

Female | 19

A high level of C-reactive protein (CRP) in the blood, even after medication, can be a sign of persistent inflammation or infection in the body. If not treated, this could become a danger. The good news, the symptoms have improved, but the increasing levels of CRP are a reason for concern, as they indicate that the problem needs to be investigated further by a doctor to determine the underlying cause and ensure appropriate treatment. 

Answered on 18th Oct '24

Dr. Babita Goel

Dr. Babita Goel

Good day doc, I noticed some traces of blood in my mucur. What could be the possible cause and solution

Male | 29

When you find some blood in mucus, it can indicate several ailments. Possible reasons could be a nosebleed, irritation by dry air, or an infection such as sinusitis. If you are facing a runny nose, pain in your face, or a sore throat, that could be a sign of an infection. Drinking a lot of water, using a humidifier, and visiting a doctor if it persists are the ways to go.

Answered on 18th Sept '24

Dr. Babita Goel

Dr. Babita Goel

My blood report says Total cholesterol - 219 mg/dl LDL direct - 117 mg/dl Triglycerides - 389 mg/dl Trig/HDL ratio - 8.3 HDL/LDL ratio - 0.4 Non HDL cholesterol - 171.97 mg/dl VLDL - 77.82 mg/dl Albumin serum- 5.12 gm/dl Lymphocyte - 17% Monocytes - 1.7% Lymphocyte absolute count - 0.92 × 10³/uL Monocytes absolute count - 0.9 × 10³/uL Hematocrit(pcv) - 54.2 % MCV - 117.8 fL MCHC - 26 g/dL RDW-SD - 75 fL RDW-CV - 17.2 % Platelet count - 140 ×10³/uL My question is what is my condition of health according to this report and how i can cure my condition and what is the problem.

Male | 33

The blood te­st shows high levels of bad fat in the body. This fat can hurt the­ heart over time. To help the­ heart, eat good foods like fruits and ve­ggies. Do exercise­ to stay fit. A hematologist may give medicine­ to lower the fat.

Answered on 23rd May '24

Dr. Babita Goel

Dr. Babita Goel

I done tested hiv duo combo on 30th day it's negative with value 0.13. Then I test hiv 1&2 Elisa (Antibody only) on 45th day it's also negative with value of 0.19. Am is safe? Is 45th day 3rd gen Elisa test is reliable?

Male | 21

According to your test results, it is very encouraging that both the HIV combo and Elisa tests were negative. The 3rd-generation Elisa test is reliable and fairly accurate in detecting HIV antibodies on the 45th day. Don't forget HIV symptoms can be different; however, the most common ones are flu-like symptoms, rash, and fatigue.

Answered on 7th Oct '24

Dr. Babita Goel

Dr. Babita Goel

posterior cervical lymphadenopathy is written on my file , i have lump on my neck , felt when pressed , i am on antibiotics from 5 days , still its there and not going away . what are chances that its cancerous ?

Female | 22

You lump your neck, and the term "posterior cervical lymphadenopathy" is in your file. It signifies the presence of a swollen lymph node. There can be many causes for this, and infections are the most common ones. But for our safety, we should explore every option including cancer. The doctor should do a thorough check-up because the lump doesn't go away even after antibiotics. They may recommend additional tests like a biopsy to identify the cause. Yet, remember, often it can still be because of non-cancerous reasons.

Answered on 30th Sept '24

Dr. Babita Goel

Dr. Babita Goel

Dear Doctor, Due to my father's high blood viscosity, suspicion of polycythemia arises, necessitating blood draws every 3 weeks to maintain appropriate levels. At 69 years old, he experiences symptoms such as skin itching, swelling, head numbness, and fatigue. Currently, his JAK2 V617F mutation showed 0.8 then 1.2%, with JAK2 exon 12 negative and EPO at 13.4. Abdominal CT and chest X-ray are normal. After a few months of phlebotomy, his levels normalized. Now, we await the bone marrow biopsy results, which do not confirm Polycythemia Vera: "Microscopic description: The bone marrow biopsy sample shows somewhat hypocellular hematopoietic parenchyma relative to age, which is terminally mature. Myeloid ratio is 2:1 with dominance of late precursors; no blast cells are noted. The number of megakaryocytes is normal with no clustering. There is no interstitial fibrosis or lymphoid infiltrate. Diagnosis: Mature, hypocellular hematopoietic parenchyma without myeloproliferative features. Cytogenetic analysis confirmed male karyotype; no clonal chromosomal abnormalities detected. Indication for examination D7510 Secondary polycythemia Note Submicroscopic rearrangements, small structural chromosomal aberrations, DNA-level differences cannot be ruled out with the method used." I am quite confused as JAK2 positivity typically suggests PV, yet the biopsy suggests otherwise, possibly indicating secondary polycythemia. Could you please clarify based on this information what you personally think is more likely, Polycythemia Vera or another secondary cause? Thank you very much for your help.

Male | 67

Your father's symptoms and test results do suggest some complexity. The presence of JAK2 mutation often points towards Polycythemia Vera (PV), but the bone marrow biopsy does not show typical myeloproliferative features, suggesting it might be secondary polycythemia instead. Consult a hematologist, specializing in blood disorders, and can provide a more accurate diagnosis and appropriate treatment plan.

 

Answered on 3rd July '24

Dr. Babita Goel

Dr. Babita Goel

I have uric acid content high( 7)in my body will it cause any further problems

Male | 17

This may be followed by pain in your joints, swelling, and ruddiness of your skin. For this, foods rich in purines, obese individuals, and those who have certain medical conditions are factors that trigger its occurrence. Drinking a lot of water, eating a nutritious diet, and consulting a hematologist for medications are some of the things you can do to lower uric acid levels.

Answered on 26th Nov '24

Dr. Babita Goel

Dr. Babita Goel

My wife is suffering with low hemoglobin, RBC , WBC & patlets count gone on decreasing .She has sufferd with viral fever for 15 days, viral fever came to normal but counts were not increasing.she has treated 20 days in KIMS, hyderabad hospital. Kims doctors told that after few days gradually counts will increase. What is her problem upto now doctors did not diagnosis, Two or three days doctors are transmitting sdp and prbc and WBC injections.I'm taken second opinion he told that there is a problem in bone marrow.without daignoses if we take bone marrow treatment does patient get any side effects.she is suffering from legs pain and swalling in legs aslo and she is becoming weak. Please what is her problem give me the clarity

Female | 36

she needs detailed hematological evaluation.and depending on all the reports, diagnosis can be made 

Answered on 23rd May '24

Dr. Soumya Poduval

I am 43 year old, my spleen has enlarged and since last 1 month I have been feeling constipated and having symptoms of ibs, and bone marrow test increases in plasma cell 08%

Female | 43

The bone marrow test shows that there are more plasma cells than usual. Plasmacytoma and promyelocytic tumors. Bloating spleen, constipation, and high plasma cells spring from the conditions of infection or bone marrow issues. Treatment engaged in depends on the cause, hence it is very important that a doctor be able to correctly diagnose and take care of ailments.

Answered on 3rd Dec '24

Dr. Babita Goel

Dr. Babita Goel

Systematic increases in immature granulocytes Good morning, Firstly, I will mention that I suffer from numerous chronic inflammatory diseases, as this may be relevant. These include Ulcerative Proctitis; Atrophic Gastritis; Last year, I also underwent two cervical electrosurgery procedures due to advanced dysplasia (CIN3). (The last colposcopy and colonoscopy did not reveal any suspicious changes) For a year now, my blood morphology tests have been showing an elevated level of immature granulocytes: The latest test (May '24) showed: Immature granulocytes IG - 0.09 thousand/µl; Norm: 0-0.04 thousand/µl Immature granulocytes IG % - 1.00; Norm: 0-0.5% The rest of the blood morphology is normal, leukocytes in urine - within the norm. Previous results (April '23): Immature granulocytes IG - 0.05 thousand/µl; Norm: 0-0.04 thousand/µl Immature granulocytes IG % - 0.7; Norm: 0-0.5% (and a very slightly elevated MCV) Even older (January '23): Immature granulocytes IG - 0.04 thousand/µl; Norm: 0-0.04 thousand/µl Immature granulocytes IG % - 0.6; Norm: 0-0.5% (and a very slightly elevated MCV and basophils) There is a clear upward trend since last year. I initially thought this was due to extreme stress (CIN3, LLETZ etc). Now I am not so sure... Are these results very concerning and indicative of a cancerous process? Can chronic inflammatory states cause an increase in IG, or is it rather some kind of “acute” disease state? Could the fact that I rode a bike to the laboratory (medium and short-term physical effort) affect the increase in results? I would be very grateful for your response and advice. Best regards, J.

Female | 40

Raised levels of these are often linked to chronic inflammation similar to stress, in this case, it is important to control them initially. With the status of attempted diagnosis for specific inflammatory conditions, your previous experience, and the new procedures on the lookout for anything new, don't hesitate to let a doctor know. It would be helpful to get solid advice from your healthcare provider concerning your test results. 

Answered on 23rd May '24

Dr. Babita Goel

Dr. Babita Goel

I am 25 years old male, I am taking PEP medication for 25 days and had another exposure today, do I have to extend my PEP?

Male | 25

If you're already on PEP medication and had another exposure, it's important to let your healthcare provider know. They will, however, determine whether you require additional PEP treatment. Sometimes symptoms of HIV can take a while to develop, therefore it is better to be safe than sorry. PEP treatment assists in reducing the chances of acquiring HIV, nevertheless, it is still preferable to consult with your doctor to ensure that you are following the correct plan.

Answered on 16th Sept '24

Dr. Babita Goel

Dr. Babita Goel

Can I drink milk while I'm taking lamivudine and zidovudine for pep

Female | 21

You can drink milk while taking lamivudine­ and zidovudine. These me­dications don't interact with milk. But milk may upset your stomach or cause diarrhe­a. If milk bothers you, try lactose-free­ milk or drink less. Stay hydrated while taking the­se meds. Drink other be­verages if milk upsets you. Contact your doctor if you have­ bad stomach pain or vomiting.

Answered on 27th Aug '24

Dr. Babita Goel

Dr. Babita Goel

Dear Madam/Sir My Mother aged 59 years old is having Hernia of 2mm.. Doctor recommended for surgery but WBC Count is 16000+. How to control WBC & to Control WBC Which test is recommended?

Female | 59

Your mom's high white blood cell count shows the­re could be an infection. Afte­r her hernia surgery, you'll want to tackle­ that. Doctors usually suggest a blood culture test to pinpoint the­ infection source. High WBC can bring feve­r, fatigue, and discomfort. Treating the infe­ction should lower her WBC count. Make ce­rtain she finishes all her antibiotics as pre­scribed to help get that WBC in che­ck before her proce­dure.

Answered on 11th Sept '24

Dr. Babita Goel

Dr. Babita Goel

My hemoglobin report 8.2 and my esr 125

Male | 37

According to your test results, your hemoglobin level is low, which can cause symptoms like feeling tired and weak. The high ESR number could mean that your body is inflamed. From simple ones, such as anemia, to complex ones, such as infection-are sorts of them. If you want to take your hemoglobin to the right levels, you may have to take in more iron-rich foods by way of diet. Plus, do not forget that the root cause of inflammation is there and lower your ESR count. To improve your hemoglobin, you may need to eat more iron-rich foods, and addressing the underlying cause of inflammation can help lower your ESR level.

Answered on 14th June '24

Dr. Babita Goel

Dr. Babita Goel

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