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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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High ESR Levels. Pain In The Joints. Reason?

i AM FEMALE ABOUT 37 YEARS. i HAVE AN INCREASE ESR I.E. 63. Four years back it was 56. I am feeling joints pain in parts like shoulder, knees, fingers, leg fingers, palm, etc. , but not daily, 2-3 days in a week, mostly in evening time and in morning time it becomes normal. Pl. advise........ More, Heamoglobin level is around 9.5, 10, .. like this.... Pl. help...
Mon, 6 May 2013
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Rheumatologist,  's  Response
Hi !
Thank you for your query.

Dear Madam,

Increased ESR means that some chronic inflammation is going on in the body . You have not clearly mentioned in your history that which joints are involved first , do you feel early morning stiffness in fingers that improves with activity . From what you say you never had a swelling of any joint , but still you need to consult a rheumatologist to pick up the disease at its onset if there .This could be palindromic onset RA but you need to get blood tests like CRP , RF , ANTI CCP Antibodies done to rule out any kind of disease.

If you have any further queries feel free to ask.
Wish you good health.
Take care.
Dr. Shruti
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High ESR Levels. Pain In The Joints. Reason?

Hi ! Thank you for your query. Dear Madam, Increased ESR means that some chronic inflammation is going on in the body . You have not clearly mentioned in your history that which joints are involved first , do you feel early morning stiffness in fingers that improves with activity . From what you say you never had a swelling of any joint , but still you need to consult a rheumatologist to pick up the disease at its onset if there .This could be palindromic onset RA but you need to get blood tests like CRP , RF , ANTI CCP Antibodies done to rule out any kind of disease. If you have any further queries feel free to ask. Wish you good health. Take care. Dr. Shruti