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What Do These Following Lab Reports Indicate?
Question: I had constant fever from yesterday morning, temperature remain same throughout the day between 100-101 degree.
Only fever no chills but slight headache.
Today morning again raises up to 102 degree.
But now it is cool down, not have fever from today afternoon after doctor tablets and injection.
But now feeling better and suffering from some cough and sore throat.
Blood test done today morning of CBC, MALARIA, DENGUE, URINE ESR AND CRP
CRP shows 59 above normal.
ESR shows 17 some above normal.
Reports has been attach in attachment, Request you to please go through it and please clarify if there is any severe infection as per CBC and CRP result.
Thank you.
Only fever no chills but slight headache.
Today morning again raises up to 102 degree.
But now it is cool down, not have fever from today afternoon after doctor tablets and injection.
But now feeling better and suffering from some cough and sore throat.
Blood test done today morning of CBC, MALARIA, DENGUE, URINE ESR AND CRP
CRP shows 59 above normal.
ESR shows 17 some above normal.
Reports has been attach in attachment, Request you to please go through it and please clarify if there is any severe infection as per CBC and CRP result.
Thank you.
Brief Answer:
It looks like an Upper respiratory tract infection.
Detailed Answer:
Hi XXXXXXX
You are probably suffering from an infection of your upper respiratory tract or a Viral infection.
The ESR and CRP are acute phase reactants and will always come raised in cases of acute infections. You dont need to worry about them. Your Hb is normal. TLC is normal. Neutrophils are in the higher range suggestive of some mild to moderate infection. Platelets are normal so we need not worry about Dengue or other such illnesses.
I would advice you continue with the treatment given by your Doctor. If there is evidence of infection in the Upper respiratory tract which can be known by an ENT Specialist examination then I would prefer to start antibiotics like Tab Ceftum or Augmentin for 5 to 7 days.
But, it would be preferable to see an ENT Specialist before that.
Otherwise, it all seems normal and do not worry about the ESR and CRP.
Take care and I will wait for your response if there are other queries that you need answered.
Dr Rishi, New XXXXXXX XXXXXXX
It looks like an Upper respiratory tract infection.
Detailed Answer:
Hi XXXXXXX
You are probably suffering from an infection of your upper respiratory tract or a Viral infection.
The ESR and CRP are acute phase reactants and will always come raised in cases of acute infections. You dont need to worry about them. Your Hb is normal. TLC is normal. Neutrophils are in the higher range suggestive of some mild to moderate infection. Platelets are normal so we need not worry about Dengue or other such illnesses.
I would advice you continue with the treatment given by your Doctor. If there is evidence of infection in the Upper respiratory tract which can be known by an ENT Specialist examination then I would prefer to start antibiotics like Tab Ceftum or Augmentin for 5 to 7 days.
But, it would be preferable to see an ENT Specialist before that.
Otherwise, it all seems normal and do not worry about the ESR and CRP.
Take care and I will wait for your response if there are other queries that you need answered.
Dr Rishi, New XXXXXXX XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you doctor for your reply,
Yesterday feeling better but today again have some minor fever of 99.5 in afternoon with severe throat pain.
Shown to doctor in morning, prescribe me Cefpodoxime Proxetil tablets and Rinifol capsules.
Please give me Any suggestion for throat pain.
Thanks and Regards.
XXXX
Yesterday feeling better but today again have some minor fever of 99.5 in afternoon with severe throat pain.
Shown to doctor in morning, prescribe me Cefpodoxime Proxetil tablets and Rinifol capsules.
Please give me Any suggestion for throat pain.
Thanks and Regards.
XXXX
Brief Answer:
Take Tab Combiflam.
Detailed Answer:
Hi XXXXXXX
You are most welcome.
For the pain you can do warm saline gargles. Take some hot water not very hot and a pinch of salt to the glass and gargle two to three times a day.
Have lots of watet to drink and increase your fluid intake. I usually prescribe Tab Combiflam two to three times a day on full stomach. This relieves the pain and you will feel better.
Take care and do let me know if there is any other query.
Dr Rishi, New XXXXXXX XXXXXXX
Take Tab Combiflam.
Detailed Answer:
Hi XXXXXXX
You are most welcome.
For the pain you can do warm saline gargles. Take some hot water not very hot and a pinch of salt to the glass and gargle two to three times a day.
Have lots of watet to drink and increase your fluid intake. I usually prescribe Tab Combiflam two to three times a day on full stomach. This relieves the pain and you will feel better.
Take care and do let me know if there is any other query.
Dr Rishi, New XXXXXXX XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Doctor,
As earlier I had mentioned about fever.
My fever has gone on last week Thursday till now there is no fever.
But after next day from Friday to Monday I got severe weakness, Unable to eat or stand, just wanted to sleep.
From Tomorrow I recover a lot, feeling much better, Able to eat, feeling hungry, and can be walk properly from Today, But some amount of cough is there.
Today I had done another test of CBC, CRP, ESR, URINE and LIVER PROFILE.
In Liver profile test total bilirubin shows little higher, Protein and Serum Globulin shows little lower.
Please go through my new report and describe me that liver test is related to jaundice.
As earlier I had mentioned about fever.
My fever has gone on last week Thursday till now there is no fever.
But after next day from Friday to Monday I got severe weakness, Unable to eat or stand, just wanted to sleep.
From Tomorrow I recover a lot, feeling much better, Able to eat, feeling hungry, and can be walk properly from Today, But some amount of cough is there.
Today I had done another test of CBC, CRP, ESR, URINE and LIVER PROFILE.
In Liver profile test total bilirubin shows little higher, Protein and Serum Globulin shows little lower.
Please go through my new report and describe me that liver test is related to jaundice.
Brief Answer:
Reports are almost normal. Start high protein diet.
Detailed Answer:
Hi XXXXXXX
It is very good news that you are feeling good now.
Your reports also reflect the same thing.
Your ESR and CRP have normalised.
Rest all investigations are also within normal limits. The decrease in your protein and albumin is due to improper or inadequate diet specially low proteins. That could be leading to the Bilirubin derangement also.
I suggest you start on a high protein diet with increased white meat, pulses, beans and egg whites. Then get yourself tested after a month.
But there is nothing to worry about now. You are fine. Just start a high protein diet.
Take care.
Dr Rishi, New XXXXXXX XXXXXXX
Reports are almost normal. Start high protein diet.
Detailed Answer:
Hi XXXXXXX
It is very good news that you are feeling good now.
Your reports also reflect the same thing.
Your ESR and CRP have normalised.
Rest all investigations are also within normal limits. The decrease in your protein and albumin is due to improper or inadequate diet specially low proteins. That could be leading to the Bilirubin derangement also.
I suggest you start on a high protein diet with increased white meat, pulses, beans and egg whites. Then get yourself tested after a month.
But there is nothing to worry about now. You are fine. Just start a high protein diet.
Take care.
Dr Rishi, New XXXXXXX XXXXXXX
Above answer was peer-reviewed by :
Dr. Yogesh D
Thank you Doctor for your reply.
During weakness period from last friday to monday my bp is rises upto 135/95 and heart beat faster up to 110.
i have not taken any medicine in weakness period just taken Ribofin two times.
like to know that reason of rising bp is may be weakness ?
But from Monday My bp level down to 120/80 and heart beat also become normal.
today i went to my business but still feel some weakness.
Having little cough.
please suggest some cough syrup.
thanks and regards,
XXXX
During weakness period from last friday to monday my bp is rises upto 135/95 and heart beat faster up to 110.
i have not taken any medicine in weakness period just taken Ribofin two times.
like to know that reason of rising bp is may be weakness ?
But from Monday My bp level down to 120/80 and heart beat also become normal.
today i went to my business but still feel some weakness.
Having little cough.
please suggest some cough syrup.
thanks and regards,
XXXX
Brief Answer:
You are still having after effects of the illness.
Detailed Answer:
Hi XXXXXXX
Thanks for your reply.
You are probably still feeling the after effects of the illness. Rise in BP and pulse rate suggests that the illness is just leaving your body. No need to worry about BP.
But you need a lot of rest, fluids and a very healthy diet. Specially high on proteins.
You should be fine in 10 to 12 days or so.
As for cough you could take any Apectorant syrup but dont take Codeine or any other centrally acting cough suppressants. Also take steam inhalation twice a day.
Take care and speedy recovery.
Dr Rishi, New XXXXXXX XXXXXXX
You are still having after effects of the illness.
Detailed Answer:
Hi XXXXXXX
Thanks for your reply.
You are probably still feeling the after effects of the illness. Rise in BP and pulse rate suggests that the illness is just leaving your body. No need to worry about BP.
But you need a lot of rest, fluids and a very healthy diet. Specially high on proteins.
You should be fine in 10 to 12 days or so.
As for cough you could take any Apectorant syrup but dont take Codeine or any other centrally acting cough suppressants. Also take steam inhalation twice a day.
Take care and speedy recovery.
Dr Rishi, New XXXXXXX XXXXXXX
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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