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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could The High ESR Level Be Due To Low Blood Count?

I am due my second Prolia injection for osteoprosis. My ESR was 18. I need to be within 1-15 range. I was referred back to my GP. I am concerned. I am a 66 year old female and suffer from a lot of mucas. Could this have a bearing on my low blood count? Thank you for your attention. Veronica Russell
Tue, 5 Aug 2014
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  User's Response
Hi Veronica, thanks for posting your concern in the HCM.
I think plenty of mucus or phlegm and high ESR may be due to allergic condition. You need have a complete blood count in which your white cell count would rule out any bacterial infection and/ or inflammation. The absolute eosinophil count would provide information regarding allergy.
For the time being my recommendations are-
1. Plenty of oral fluid (2-3 lit/day)
2. Please maintain good oral hygiene
3. Avoid dust, cold and any known allergen.
4. You may take some antihistaminic (e.g. Cetirizine 10 mg once daily for 7 days). You may also need Montelukast and estimation of Ig E level if not relieved.
5. Regular gurgle with lukewarm water twice daily and steam inhalation may help you for the mucous problem
In case you have any new query in future, you can directly ask me questions @ http://www.HealthcareMagic.com/doctors/dr-kaushik-sarkar/68460.
Regards,
Dr. Kaushik
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Could The High ESR Level Be Due To Low Blood Count?

Hi Veronica, thanks for posting your concern in the HCM. I think plenty of mucus or phlegm and high ESR may be due to allergic condition. You need have a complete blood count in which your white cell count would rule out any bacterial infection and/ or inflammation. The absolute eosinophil count would provide information regarding allergy. For the time being my recommendations are- 1. Plenty of oral fluid (2-3 lit/day) 2. Please maintain good oral hygiene 3. Avoid dust, cold and any known allergen. 4. You may take some antihistaminic (e.g. Cetirizine 10 mg once daily for 7 days). You may also need Montelukast and estimation of Ig E level if not relieved. 5. Regular gurgle with lukewarm water twice daily and steam inhalation may help you for the mucous problem In case you have any new query in future, you can directly ask me questions @ http://www.HealthcareMagic.com/doctors/dr-kaushik-sarkar/68460. Regards, Dr. Kaushik