What Does My Lab Test Report Indicate?

Posted on Mon, 19 Sep 2016

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

Mon, 19 Sep 2016 Answered on

Tue, 18 Oct 2016 Last reviewed on

Question : As advised tests with some readings above the normal range from CBC + ESR & Chikungunya are as follows:

1)ESR - 20 [Normal 0-15]
2)Eosinophills - 7 [ Normal 1.00-7.00]
3)Chikengunia - Negative.

Please suggest correct line of treatment.

Answered by Dr. Anshul Varshney (12 hours later)

Brief Answer:
Please mention the symptoms.

Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern.
Dear XXXXXXX I have seen the attached reports.
However I need to corelate them with the clinical symptoms and duration.
Please mention the duration of fever and the associated symptoms.
Revert with the asked details for a better help.
Dr Anshul Varshney, MD XXXXXXX

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Anshul Varshney (15 hours later)

Fever duration is now over week now, initially started with high fever and now it is 100. But there is not much pain in joints. But headache is there along with weakness.
Please advice whether to continue with Dolo 650 or not.

Please reply asap.

Answered by Dr. Anshul Varshney (2 minutes later)

Brief Answer:
Get Typhoid test done.

Detailed Answer:
Dear XXXXXXX
These days chikungunya fever is on rise and test cones positive after a week only.
So negative test doesn't exclude chikungunya.
However the fever seldom lasts for more then 7 days, so I would recommend you to get his tests done for Typhoid including Typhi Dot IgM and Widal.
If they are negative then it's probably viral.
So till then he should continue with Dolo for fever and joint pains.
If the Typhoid tests come positive you may need to see back you Physician for antibiotics.
If you have any further query, please ask me.
Dr Anshul Varshney, MD
G-8, Ajnara Market , Rajnagar Ext, XXXXXXX

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar