Doctor insights on:
My Esr Is 92
I have refractory hodgkin lymphoma. I received 2 cycles of ESHAP chemo. However, my ESR is 92, why is that? How many cycles of ESHAP I have to receive?
Everything: Even drinking a glass of water. Sed rate means nothing whatsoever in isolation. It's hard to do right, nobody's going to do anything with the information, and it's not a warning of hidden disease. We order it simply in case there's some other illness that it might illuminate. ...Read more
Means little: The "sed rate" is ordered to shed light on other findings, both clinical and lab. It's a primitive test and one that's easy to do wrong. In my book, this is fine; don't conclude you're sick simply because this falls outside a reference range. ...Read more
Need more info....: Your question is too vague - how "high" is high? Remember, as doctors we do not just treat a number - we need clinical correlation. What symptoms were you having at the time.? What is the total WBC count? Lymphocyte count? Why were you tested in the first place? The additional info will get you a better answer when you see the doctor face-to-face and have a discussion with him or her. ...Read more
Non-specific: A sed rate of 40 is elevated, but alone is non-specific and can be caused by several different underlying inflammatory causes. If you have pains and they persist, it would be recommended to continue to get a follow-up examination and evaluation by your treating dr. Who can use the sed rate elevation as one test already done in his/her diagnosing process. Best wishes. ...Read more
Relax: How do you FEEL? I wouldn't give this a moment's thought if you feel well and have no other evidence of disease. Sed rate means nothing whatsoever in isolation. It's hard to do right, nobody's going to do anything with the information, and it's not a warning of hidden disease. We order it simply in case there's some other illness that it might illuminate. ...Read more
Non Specific Test:
Esr (erythrocyte sedimentation rate) is a non specific test unless there is a certain diagnosis when you check ESR to track the improvement or deterioration.
By itself it is not of much value. It can be high in any inflammation or infection, even a simple sore throat or common cold or flu.
Routinely it is not checked in the office on routine blood work. ...Read more
ESR is a marker of: Erythrocyte sedimentation rate (ESR) is a marker of inflammation, thus high inflammatory processes cause ESR to be higher. Infections, cancers, uncontrolled rheumatologic diseases, and endovascular inflammation (i.e. Arteritis) are examples. Thus, elevated ESR values suggest inflammatory conditions which should be sought and treated. Esr is not a complication, but a marker! Consult doc. Good luck. ...Read more
Inflammation if goin: Erythrocyte sedimentation rate is a very old test that roughly measures the amount of inflammatory proteins in the blood. These proteins can be due to a rheumatic disease, inflammatory disease or infectious disease. Most important is the context in which it occurs and why the test was ordered in the first place. ...Read more
Means nothing alone: The ESR is often done wrong anyway -- our lab once had all-high sed rates because of a jackhammer operator across the street -- and in the absence of symptoms / signs of possible undiagnosed disease is of no value. The same is true of most other labs. If your physicain is not worried, you shouldn't be either. ...Read more
Nothing: This is a famously unreliable test in any case, with a lot of random variation from lab conditions. Only if it's way elevated does it mean anything at all, and even so, it's not something to be treated. Life's difficult enough without fretting over labs that are just general indicators of health. ...Read more
Possibly.: The ESR is a possible indicator of inflammation in the body. It is not specific for anything, but it is often an indicator that something is wrong. I think with this evidence you probably should see your doctor and have a more thorough check up performed. At least talk about it with him or her. Good luck. ...Read more
Stop worrying: The sed rate means absolutely nothing in isolation and is often done wrong in the first place. It's a single piece of information that is only of moderate usefulness in a few unusual clinical situations. I'm a lab specialist and my best advice to is to stop worrying about labs like this, get into a fitness-focused lifestyle, and be thankful for good health. ...Read more