What Does This ASLO Titer And Raised ESR Indicate?

Posted on Sun, 13 Apr 2014

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

Sun, 13 Apr 2014 Answered on

Sat, 3 May 2014 Last reviewed on

Question : hii, from past one week my mother was suffering from pain at left side...left side of her body was totally effected.nd daily low fever.today done with medical diagnosis nd all d reports were negative except aso titre..her aso titre is 400.nd ESR value is 25.please provide ur valuable suggestions.

Answered by Dr. Deepak Kishore Kaltari (15 minutes later)

Brief Answer: Further information required Detailed Answer: Namasthe Welcome to Healthcare-Magic Greetings Dear Ms XXXXXXX ASLO titer and raised ESR are non specific investigation Raised ASLO titer denotes Rheumatic Fever especially in children. In adults it requires clinical co-relation . ASLO titer can also be elevated due to previous sore throat which has been cause by Streptococcus . Bacterial Infection as the cause of symptoms is less likely as total white blood cell count is elevated. Usually there will be some elevation. I would require additional information for me to be able to guide you further 1. Pain in left side: Is the pain in whole left side or left sided joints are affected. Is there ny weakness or difficulty in standing or walking 2.Is there any puffiness of face 3. Is fever still present, How long has been fever present, how much was the fever 4. is her appetite okay? 5. Does she have any swelling in body especially legs and thighs? 6. Any respiratory complaints like coughing, breathlessness? 7. is there any Urinary complaints like buring urine, increased frequency of urine 8. Is she on any medicine present or long term use of any medicine like BP or anti-diabetic If she is still having persistent fever and other complaints , she will require further investigations to know the cause for fever. Do get back to me with the details. Wishing you and your family a happy and healthy life. Take Care Best Regards Dr Deepak Kishore MBBS,MS,MCH Consultant Surgeon

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

Follow up: Dr. Deepak Kishore Kaltari (48 minutes later)

1.pain in whole left side from today. before that pain at right side also..bt today she severely suffering from left side pain 2.no puffiness in face 3.sorry sir,we dont know exactly how much fever is there.but from past few months her urine colour was yellow.so we thought that it was low fever. bt no body temperature. 4.appetile was ok. 5.no swelling in body 6.now she doesnt have any resipiratory issues.. bt 15 days back she had cough.bt now it was ok 7.burning urine is there,she gets severe pain at d tym of urination 8.in the past she had other health issues like acidity,severe back pain,joint pains. nd swelling of transverse colon is the major problem she had faced.before 2 years she had kidney related issue..at that tym doctor told dat starting of d formation of stones in kidnys.nd she got medicated by physician. actually sir,we heard that in case of high aso(400) there is a possibilty of getting rheumatic related issues.. we were so worried about that,would you please clarify our doubts. thank you in advance

Answered by Dr. Deepak Kishore Kaltari (54 minutes later)

Brief Answer: Possibility of post menopausal syndrome Detailed Answer: Hi Dear Ms XXXXXXX As previously told, she could be having Rheumatic pain. She is having Pain and there is no physical swelling likely there is no acute inflammation. Also possibility of Post- Menopausal syndrome needs to be considered. I would suggest you the following investigation , which will also be helpful as a routine health workup 1. ECG 2. Bone density measurement: It will rule out Osteoporosis 3. Ultrasound of abdomen. 4. PAP smear. 5. Urine examination Many post-menopausal individuals experience mild elevation of body temperature, generalized pain and body ache. Its due to declining Oestrogen and other sex hormones. Also associated Calcium deficiency will aggravate the symptoms. I hope she is not having any one sided weakness in the body. I would suggest the following measures 1. Ensure good intake of water: 3 liter a day 2. High fiber diet 3. Calcium and vitamin D3 supplement 4. Massage followed by hot water bath will be beneficial. Do get back to me if you need any further assistance Take Care Regards Deepak 2

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