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Osteoporosis in L4 is -2.6 and high esr
I have osteoporosis in L4 and having pain in lower mid back on long standing or sitting
My esr is 69
2 months back also it was 50
Can parasitic infection or osteoporosis raise esr
As I was given Albendazole also 3 weeks back beacause of high eosinophills which were 13.4
Answers (15)
Need a few more details please consult for further evaluation and treatment
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+197
Need to have some blood and urine tests to check there is no bone marrow issues which are known to cause osteoporosis.
Blood film, serum protein electrophoresis, urine protein electrophoresis (for bence jones protein), KFT, Calcium levels
DEXA scan of bones
Ultrasound abdomen to check spleen and liver size.
Hope this helps.
Free online consultations for age 50 years and older.
Best wishes
www.jgsr-health-education.in
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Kindly
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Yes ESR can be raised possibilities can not be rule out
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Any chronic inflammation or sickness can raise esr.
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high ESR can relate to both osteoporosis inflammation and possible parasitic cause. Repeat tests after treatment. A consultation can guide next steps. Feel free to book one.
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Yes, both parasitic infection and osteoporosis can contribute to elevated ESR, but your picture is more complex. High eosinophils (13.4%) strongly indicate an active parasitic or allergic process, and parasitic infections do raise ESR. However, a persistently rising ESR (50 two months ago, now 69) even after Albendazole suggests the underlying cause may not be fully resolved, or there may be an additional inflammatory process. Osteoporosis at L4 with a score of -2.6 needs attention as it is in the osteoporosis range and is contributing to your back pain.
Next Steps
Repeat eosinophil count and stool examination to confirm if the parasitic infection is cleared. ESR should be rechecked 4-6 weeks after treatment. Consult a rheumatologist or physician to investigate the cause of osteoporosis (check calcium, Vitamin D, parathyroid hormone, and cortisol). Please consult me directly on Practo for a detailed evaluation.
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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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Osteoporosis before age 50 is typically secondary to conditions like early menopause, medication use (e.g., steroids), or endocrine disorders.
Next Steps
Management includes:
Calcium and vitamin D supplementation
Weight-bearing exercise
Lifestyle modifications
Hormone Replacement Therapy
Bisphosphonates in low dose
Health Tips
Do blood tests to rule out thyroid disorders, vitamin D deficiency, celiac disease, or early menopause.
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Repeat CBC with differential
CRP
Peripheral smear
Stool examination for ova and parasites
Urine examination
Kidney and liver function tests
Your back pain need evaluation, you can visit our clinic or get video consultantation and advice via procto app
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IN OSTEOPOROSIS ESR IS ALWAYS HIGH.
U CAN GO YO GOVERNMENT SECTOR ORTHOPEDIC, IF ANY PROJECT FOR OSTEOPOROSIS THEY WILL PROVIDE FREE INJ WHICH IS VERY COSTLY.
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Yes
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Dr. Anuj Mothsra
General Physician
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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