Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Do These ESR And HDL Levels Indicate?
Question: As per recent pathology tests done yesterday, i have ESR value is 24 [where as normal value is14] and HDL value is 234[where as normal value is 200], could you please advise the reason for the same along with correct line of treatment. Can these values be ignored or there are some concerns with the values, i am currently 45yr with 80kgs weight and 170cm height.
Brief Answer:
please provide more details.
Detailed Answer:
Dear sir
Before I could elaborate more one the clinical picture, I would request you to provide more details.
1. Please provide your complete lipid profile including the values of Total, LDL and HDL cholesterol (including the units used by the lab)
2. Please provide your usual blood pressure in numbers.
3. Do you take any medication for high blood pressure, diabetes, heart disease or stroke?
4. Do you smoke?
5. Do you have any fever/ infection or generalised debility/ leathrgy ?
6. What is your current life style including the amount of daily exercise and your usual diet pattern?
Waiting for your reply.
Sincerely
Sukhvinder
please provide more details.
Detailed Answer:
Dear sir
Before I could elaborate more one the clinical picture, I would request you to provide more details.
1. Please provide your complete lipid profile including the values of Total, LDL and HDL cholesterol (including the units used by the lab)
2. Please provide your usual blood pressure in numbers.
3. Do you take any medication for high blood pressure, diabetes, heart disease or stroke?
4. Do you smoke?
5. Do you have any fever/ infection or generalised debility/ leathrgy ?
6. What is your current life style including the amount of daily exercise and your usual diet pattern?
Waiting for your reply.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Reports have been uploaded, please provide details for the abnormal readings with correct line of treatment and whether can be ignored or not.
Brief Answer:
please provide details as asked for ...
Detailed Answer:
Dear Sir
1. I have gone through your report. However I asked many other questions too. Please answer them correctly, so that I can elaborate on test results.
Sincerely
Sukhvinder
please provide details as asked for ...
Detailed Answer:
Dear Sir
1. I have gone through your report. However I asked many other questions too. Please answer them correctly, so that I can elaborate on test results.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
2. Please provide your usual blood pressure in numbers. ====95/150
3. Do you take any medication for high blood pressure, diabetes, heart disease or stroke? NO
4. Do you smoke? NO
5. Do you have any fever/ infection or generalised debility/ leathrgy ? NO
6. What is your current life style including the amount of daily exercise and your usual diet pattern? walking 4-5kms vegetarian
3. Do you take any medication for high blood pressure, diabetes, heart disease or stroke? NO
4. Do you smoke? NO
5. Do you have any fever/ infection or generalised debility/ leathrgy ? NO
6. What is your current life style including the amount of daily exercise and your usual diet pattern? walking 4-5kms vegetarian
Brief Answer:
please see detils below
Detailed Answer:
Dear Sir
1. The ESR value is 24mm at first hour which is marginally above the high normal value of 14mm of the lab. Though high ESR usually indicates a disease process, marginally high ESR in absence of any symptoms of disease, as stated by you, may be a normal variant. The normal value of TLC and DLC also do not favor infection or inflammation. Various diseases in which it may be high are infections inflammation, cancer, kidney failure, anemia, autoimmune diseases etc. It may be slightly higher in old age, pregnancy and getting a test done after having meals. since there are no symptoms and levels are marginally high, best way is to get them repeated after sometime like 2-3 weeks. Do watch for development of any symptoms.
2. Your total cholesterol value is 234 and not HDL value. The HDL cholesterol is 41mg% and LDL cholesterol is 163mg%. Moreover, the value of blood pressure, i.e. 150mmHg as stated by you, is higher than normal limit of 140mmHg. Your BMI is 26.9. All these factors needs attention. Your body weight should be around 67Kg. Hence you need to reduce your weight. Since blood pressure is higher than normal it requires regular monitoring. If multiple readings are more than 140/90mmHg, you will require to start medication for same. However, for the cholesterol level with this profile, medication is not warranted as yet. Only life style modification followed by a repeat profile after 3 months is warranted. Try to devote more time to exercise with a goal of 45 minutes of brisk walk per day or equivalent exercise. Try to avoid oily and fried items. Avoid excess of sweets, cold drinks and desserts. Repeat Lipid profile after 3 months.
Do monitor your blood pressure.
Hope this answers your query. Feel free to discuss further.
Sincerely
Sukhvinder
please see detils below
Detailed Answer:
Dear Sir
1. The ESR value is 24mm at first hour which is marginally above the high normal value of 14mm of the lab. Though high ESR usually indicates a disease process, marginally high ESR in absence of any symptoms of disease, as stated by you, may be a normal variant. The normal value of TLC and DLC also do not favor infection or inflammation. Various diseases in which it may be high are infections inflammation, cancer, kidney failure, anemia, autoimmune diseases etc. It may be slightly higher in old age, pregnancy and getting a test done after having meals. since there are no symptoms and levels are marginally high, best way is to get them repeated after sometime like 2-3 weeks. Do watch for development of any symptoms.
2. Your total cholesterol value is 234 and not HDL value. The HDL cholesterol is 41mg% and LDL cholesterol is 163mg%. Moreover, the value of blood pressure, i.e. 150mmHg as stated by you, is higher than normal limit of 140mmHg. Your BMI is 26.9. All these factors needs attention. Your body weight should be around 67Kg. Hence you need to reduce your weight. Since blood pressure is higher than normal it requires regular monitoring. If multiple readings are more than 140/90mmHg, you will require to start medication for same. However, for the cholesterol level with this profile, medication is not warranted as yet. Only life style modification followed by a repeat profile after 3 months is warranted. Try to devote more time to exercise with a goal of 45 minutes of brisk walk per day or equivalent exercise. Try to avoid oily and fried items. Avoid excess of sweets, cold drinks and desserts. Repeat Lipid profile after 3 months.
Do monitor your blood pressure.
Hope this answers your query. Feel free to discuss further.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
Does eating from 4 chapaties reducing to 3 can make difference in weight management? Also let me know when to drink water when having meals like in between or at last?Does that make diff. if i am eating regularly 2 light meals and 2 main meals every 3-4hours ?
Brief Answer:
please see details below
Detailed Answer:
Dear Sir
1. Drinking water along with meals may promote distension and backward regurgitation of food in foodpipe leading to burning sensation. Hence water may be taken 30-45 minutes before meals or 90-120 minutes after meals.
2. Weight management involves reduction in excess calorie intake and increase in exercise both. Best way out is to get a diet chart from a qualified dietitian for a weight reducing diet.
3. Breakfast should be an essential part of diet plan. Rest you can get your diet chart as per system prevalent in your family or society. Dramatic changes in food plan are not found to be helpful.
Sincerely
Sukhvinder
please see details below
Detailed Answer:
Dear Sir
1. Drinking water along with meals may promote distension and backward regurgitation of food in foodpipe leading to burning sensation. Hence water may be taken 30-45 minutes before meals or 90-120 minutes after meals.
2. Weight management involves reduction in excess calorie intake and increase in exercise both. Best way out is to get a diet chart from a qualified dietitian for a weight reducing diet.
3. Breakfast should be an essential part of diet plan. Rest you can get your diet chart as per system prevalent in your family or society. Dramatic changes in food plan are not found to be helpful.
Sincerely
Sukhvinder
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
