What Does Elevated ESR Level Indicate?

Posted on Wed, 26 Aug 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 26 Aug 2015 Answered on

Tue, 15 Sep 2015 Last reviewed on

Question : Blood work esr was elevated at 50 what can cause this should i be concern

Answered by Dr. Hardik Sanghvi (45 minutes later)

Brief Answer:
You should investigate for causes of high esr.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
You have high esr.
You should search for the cause of high esr.
Tuberculosis, infection, anemia, autoimmune disease, paraprotienemia, malignancies all can lead to high esr.

You should go for complete blood count first. Then you should further investigate according to reports. Also tell me about your symptoms.

Give me follow up with your symptoms and complete blood count report so that I can help you further.
Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Hardik Sanghvi (3 minutes later)

No symptoms routine blood work...cbc normal crp normal what other blood work should i get can esr be high without cause

Answered by Dr. Hardik Sanghvi (9 minutes later)

Brief Answer:
It can be due to nonspecific reason or without cause.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
Your complete blood count is normal so there is no anemia or blood malignancy.
Your crp is also normal so there is no infection.
Moreover you don't have any symptoms so other possibility like tuberculosis or other malignancy is also less likely.

You should not worry about your high esr. It can be due to some non specific cause or without any causes.

You should go for repeat esr after 2 months. If it remains same or decreased then no treatment is required.

If it increase further then test for autoimmune disease or connective tissue disorder is needed.

Right now no further action is required. Just be relaxed. Repeat your esr after 2 months.
In between if you have any symptoms then consult your doctor. Otherwise no need to worry.

Hope I have answered your question, if you have doubt then I will be happy to answer.
Thanks for using health care magic. Wish you a very good health.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Hardik Sanghvi (3 minutes later)

I have been tested for lupus thyroid etc..other question two nights ago i started getting went away now i have them again what can be causing this im taking pantropazole started 2 weeks ago can it be that hives starts only at night during the day nothing

Answered by Dr. Hardik Sanghvi (4 hours later)

Brief Answer:
You may have urticaria.

Detailed Answer:
Hi, dear
I have gone through your question and I can understand your concern.
You may have urticaria. Certain drugs or infection can leads to that. Pentoprazole is proton pump inhibitor and generally does no cause urticaria.
You should consult dermatologist and if needed go for IgE and absolute eosinophil count. Antihistaminic drugs or steroids can be used for that. But it is prescription based medicine so consult your dermatologist and take treatment after examination.
Don't worry about your ESR.
Hope I have answered your question. If you still have any doubts then feel free to ask me. I will be happy to answer.
Thanks for using health care magic. Wish you a very good health.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar