What Is An ESR Test?
I need further details.
Detailed Answer:
Dear Friend
Welcome to HealthcareMagic. I am Dr Anshul Varshney. I understand your concern.
ESR is a non-specific marker.
It can be increased in any infection or inflammation , so it is co-related clinically with other signs and symptoms , as well as with other investigations.
So , I need further details regarding this high ESR. ESR Of 76 mm/hr is high.
I would like to know:
1. What problems made home undergone testing?
2. Any fever?
3, Any Joint pains? rashes? frequent redning of eyes?
4. Any oral ulcers?
5. Any cough and expectoration?
6. Any history of diabetes and hypertension.
7. Any other chronic illness.
8. Do attach his all reports here.
Revert me with these answers preferably point wise, so that i can help you in making the possible diagnosis.
1. my dad had visited a doctor for gout pains.the doc had askd to do the test
2.no
3. gout pain
4. no
5. no
6. hypertension
7. no
Could be Rheumatoid arthritis
Detailed Answer:
Dear Friend.
You need to understand that high ESR of this level is not a classical feature of gout.
Also his uric acid levels are normal. We should reconsider the diagnosis of Joint pains.
Tell me which join ts are affected with pain?
Any pain in small joints of hand?
Any morning stiffness?
I am considering the diagnosis of Rheumatoid Arthritis because in that condition ESR can be so high.
If you have his any other old investigations too please attach them.
Stay Healthy.
Get Investigated
Detailed Answer:
Dear Friend.
In the reports you have attached, no reading of Uric Acid is significant to cause and treat gout.
ESR is a problem.
Let me brief you most common causes of High ESR:
1. Any Infection including Pneumonia and Tuberculosis
2. Connective Tissue Disorders including Rheumatoid Arthritis.
3. Vasculitis
He definitely need further work up:
1. Repeat Hemogram with ESR
2. KFT and LFT
3. X ray Chest
4. Ultrasound Abdomen.
5. R-Factor.
This high ESR requires investigations, so i am suggesting you. Also would advise you to get them done from an authentic lab.
Get the investigations and Review with me again.
If you have any further query, please ask me, else close the discussion and rate it.