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High ESR & Low Iron
Hi everyone, I'm posting on behalf of my friend. She recently got her blood tests done, and I'd appreciate a thorough review of her reports.
The main concerns are:
Hemoglobin: 11.1 (low)
ESR: 68 (significantly elevated)
Serum Iron: 41 and Transferrin Saturation: 10.04% (low)
TSH: 6.614 (elevated)
Vitamin D: 17 (deficient)
HDL: 44 (slightly low)
Urine Leucocyte Esterase: 1+
Could you please help identify possible underlying causes, what further tests are needed, and what treatment or dietary changes would be recommended? Particularly concerned about the high ESR and TSH.
Answers (12)
You r suffering from hypothyroidism low vit d3 low hb n low sr iron.
Esr is raised due to chronic inflammation.
No separate treatment for esr.
Uprise d60k once a week for eight weeks followed by one per month for six months after breakfast a complete therapy by WHO.
UTI
CITRALKA SYR 10ML AFTER FOOD FOR 10 DAYS WITH HALF GLASS OF WATER. THYROXINE 100MCG ONE BEFORE BREAKFAST FOR TWO MONTHS NOT STOP AS U NEED FOLLOW UP BY MD PHYSICIAN.
ADD CALCIUM AS THYROXINE IS CALCIUM DEPLETING AGENT SO BONES BECOME WEAK, SHALCAL 500 ONE AT NIGHT AFTER DINNER .
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She has hypothyroidism, low iron, vit d, low HDL,cholesterol , , mild inflammation in urinary tract. Please share details of her symptoms, then I can help her further.
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Your friend is anemic and having hypothyroidism with vit d deficiency as per the reports you provided
I need detailed history of your friend
If you'd like, you can consult with me through practo app for a more personalised evaluation. I'd be happy to guide you with a suitable treatment plan and help you manage your concerns better.
There I Will tell you after knowing history what test needs to be done
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Your haemoglobin of 11.1 with low serum iron and transferrin saturation points to iron deficiency anaemia, and that alone can raise ESR, which explains your reading of 68 without needing a separate cause. Your TSH of 6.6 suggests mildly underactive thyroid function, and your vitamin D is genuinely deficient at 17.
Next Steps
A ferritin test will confirm the iron deficiency, and repeating TSH with free T4 clarifies the thyroid picture. The urine leucocyte esterase is worth following up with a urine routine and culture to rule out infection. Iron, vitamin D and thyroid treatment are all manageable once confirmed.
Health Tips
Please see a general physician or endocrinologist to start treatment and recheck levels after a few months.
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