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Extremely elevated ESR.
I went through a general health checkup in march where my esr level was reported as 71. CRP was <5.0.
I got ESR checked again to see if it got resolved on its on in June, it has increased to 81.
I do not have any physical problems as such. I usually take vitamin b and iron supplements, amd now all these levels are fine.
I do have thyroid disorder and i take 50mg thyroxine. In march tsh was 5.6 and in june tsh was 5.9. Do i need to go to a doctor urgently? Kindly help
Answers (21)
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High esr could be due to some sort of inflammation.Thyroid disease could be associated with a raised esr, especially when not under control.You may need to see your physician to adjust the thyroxin dose
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Share this all the report
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Hi,
Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Normal TSH is 0.4 to 4.0 mlU/L.
TSH 5.9 indicates Subclinical hypothyroidism.
Do a T3 and T4 to know the correct thyroid status.
And then treat accordingly.
Your ESR and CRP are normal. Why did you do these tests?
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Do consult
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Esr ir marker of inflammation may be any where in body, but your crp is only five.
Hypothyroidism is one condition.
Low vitd3 is another reason low vitb12 is other. CORRECTION OF ALL
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CHANGE LIFE STYLE N DIET PLAN DRASTICALLY
SLOWLY IMPROVE ESR AS THERE IS NO SEPARATE TREATMENT FOR ESR.
SPECIALLY ANTI-INFLAMMATORY DIET SO CONSULT A DIATICIAN
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Dose adjustment required only for throid medicine ,nothing else .about esr no worry , its nonsignificant and in may people its increase without any ongoing disease ,so no worry about that.
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An ESR of 71–81 mm/hr is elevated, but ESR is a very nonspecific inflammatory marker and can remain high for many reasons, including thyroid autoimmunity, recent infections, obesity, anemia, chronic inflammatory conditions, and even without an obvious cause. The fact that your CRP is normal (
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No urgent medical attention is required solely because of the ESR value if you are otherwise well. However, seek earlier review if you develop fever, weight loss, joint pains, persistent fatigue, lymph node swelling, or other new symptoms.
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Consult me for further line of investigations
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You might be suffering from some underlying infections or inflammation . For further enquiry please connect and consult
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Khhyati Jain
Pain Management Specialist
8 yrs exp
Jaipur
It can be due to hypothyroidism.
Did you have any recent illness or fever ?
Or long standing backache or joint pain ?
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Dr. Jayesh P Nanda
General Physician
22 yrs exp
Mumbai
Hello,
Based on the information you have shared, there is no indication that this is a medical emergency, so you do not need to rush to the hospital urgently. However, a persistently elevated ESR (71 → 81 mm/hr over 3 months) does deserve a systematic evaluation rather than being ignored.
ESR (Erythrocyte Sedimentation Rate) is a very non-specific marker and can remain elevated for months.
A normal CRP (
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One additional point: Please mention whether you have any history of anemia, recent infections, joint pains, menstrual irregularities/heavy periods, weight changes, or family history of autoimmune disease, as these details would help identify the most likely reason for the elevated ESR.
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Any past history or family history of cough is also imp and for thyroid dose adjustment consult your treating doctor.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
No.need
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Dr. Zaheer Ahmad
General Physician
10 yrs exp
Bareilly
Kindly share all the related reports
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Dr. Vinay Amin
General Physician
10 yrs exp
Mumbai
High esr is a sign of infection or inflammation in the body
It can be also be seen normally higher in obese and in females
There are certain conditions where they are elevated called autoimmune conditions where the immune system attacks the body’s own cells
If you do not have physical problems as you mentioned it is unlikely you have any of these conditions
Your thyroid disease is unrelated to high esr
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Need more history to guide you
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Avoid too much stress or overexercise if you are
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Dr. Sumit Verma
General Physician
5 yrs exp
Kanpur
ESR 71 → 81 mm/hr is elevated and has increased over 3 months.
CRP <5 mg/L is normal, which is reassuring and suggests there may not be significant active inflammation.
TSH 5.6 → 5.9 mIU/L is mildly elevated despite taking thyroxine, which may indicate that your thyroid replacement dose needs review.
You have no significant symptoms, which makes an emergency situation less likely.
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
Increased esr is non specific, could be because of chronic inflammation or any sickness. If no deficiencies found, control thyroid profile, and then repeat esr.
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