My ESR in blood is 65. Is it dangerous or is it mild?

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    It is pretty much higher than the normal ( but you should have mentioned, whether the ESR – Erythrocyte Sedimention Rate, reading was done at 30mins or 1hr). Anyhow, your ESR values are higher. There 100s of medical reasons behind it, as higher ESR values is just a marker or indicator of some underlying abnormality or disease processes in the body. Most common cause is Infections. So, you need to have further evaluation based on other symptoms. You need to undergo some other tests to diagnose any abnormality, based on that treatment will be planned. So better consult a nearby physician.


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    The Erythracyte Sedimentation Rate sort of measures how ‘sticky’ the red blood cells are. It’s a fairly good measure of how inflamed someone is. The ESR is how many mm the cells fall in an hour. The stickier they are – the more of them fall.

    There’s a very general calculation that’s used to come up with a ‘normal’ figure -although there is always a range for normal. For women it’s their Age + 10 years divided by 2.


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    It shows a degree of inflammation that needs to be found. You could have:

    • Blood dyscrasias like Thalassemia or Sickle Cell
    • Autoimmune problems like Lupus or Hemolytic anemias
    • Blood Parasites
    • Other anemias
    • IBS or other bowel inflammations

    Normal esr ranges about 3–5mm in case of males and 7–8mm in case of females (westergrens method). So yes it is pretty much higher. U may have some abnormality within ur body.


    If your ESR is in the mid-50s range, you should be less concerned. But if it’s over 65 or close to the upper limit of normal for your lab, you should consult your doctor immediately. What does all this mean?

    It means that you’re probably not in immediate danger and that only time will tell. There are various reasons for elevated ESR levels — some mild (such as a cold), others direr (such as an autoimmune disease). Your doctor can take a blood test and order imaging scans to determine whether or not there’s potential for serious illness.

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    —) Increased level of ESR indicate internal inflammation or infection. To overcome this stage, follow the given steps given below;

    —) Eat loads of veggies (carrot and beetroot are highly recommended).

    —)Alter your diet to protein rich that carbs rich.

    —) take lean protein like chicken( avoid fried items).

    —) avoid citric foods.( Lemon, orange, grape etc.)

    —) try to drink coconut water, it’s rich in electrolyte it’ll flush out your toxins.

    —) kindly don’t eat ice cream, I know it’ll be damn tasty but it’s just gonna make your situation worse.

    —) don’t not eat packed foods.

    —) Eat a apple daily.

    —) take your tablets regularly.

    —) sleep well, sleep is the best medicine.

    —) Do mild excercise.



    An ESR greater than or equal to 100 is usally found in Infection ( the commonest cause) followed by malignancy , connective tissue disease , renal disease and liver disease.Pneumonia is the commonest infection diagnosed and the commonest cause of a markedly elevated ESR.


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    ESR is a non-specific finding…

    It is a common haematology test and non-specific measure of Inflammation..

    Here some common causes of high ESR level..

    some more reasons..

    1. Giant cell arteritis
    2. Macroglobulinemia
    3. Allergic vasculitis
    4. Hyperfibrinogenemia
    5. Necrotizing vasculitis
    6. Polymyalgia rheumatica

    The ESR is governed by the balance between pro-sedimentation factors, mainly fibrinogen, and those factors resisting sedimentation, namely the negative charge of the erythrocytes . When an inflammatory process is present, the high proportion of fibrinogen in the blood causes red blood cells to stick to each other. The red cells form stacks called ‘rouleaux,’ which settle faster, due to their increased density. Rouleaux formation can also occur in association with some lymphoproliferative disorders in which one or more immunoglobulins are secreted in high amounts.

    The test means that the cellular part of your blood will separate from the fluid (plasma) at a somewhat higher rate than average.

    That doesn’t tell you very much, does it?

    The ESR is a very nonspecific test; it tells us nothing in itself.

    The ESR is elevated in a number of diseases and can be used to help confirm a suspicion; it is not a primary test for anything.

    e.g. I see a 70 year old lady with a one sided headache; the temporal area is tender on examination; I get an ESR.

    If the ESR is 5 mm/hr it is unlikely (but not impossible) for her to have giant cell arteritis; if it is 70 mm/hr it is very likely to have giant cell arteritis. We are still talking about likely and there are no absolutes. I will present the evidence to the patient as part of my recommendation as to the need for an artery biopsy. Her choice while understanding that failure to treat the disease, if present, may lead to blindness.

    In your case, the real question is with regards to why the test was ordered in the first place; the physician is trying to verify or exclude a diagnosis and other factors weigh in.


    ESR is a test that is carried out to reveal the activity of inflammatory system. ESR may not be directly involved in causing cancer. However, inflammation may or can be involved in cancer. Inflammation is a localised physical condition in which part of the body becomes reddened, swollen, hot, and often painful as a reaction to the irritation, injury, or infection. An abstract by Lisa M. Coussens and Zena Werb explains it all by stating, “Recent data have expanded the concept that inflammation is a critical component of tumour progression. Many cancers arise from sites of infection, chronic irritation and inflammation. It is now becoming clear that the tumour microenvironment, which is largely orchestrated by inflammatory cells, is an indispensable participant in the neoplastic process, fostering proliferation, survival and migration. In addition, tumour cells have co-opted some of the signalling molecules of the innate immune system, such as selectins, chemokines and their receptors for invasion, migration and metastasis. These insights are fostering new anti-inflammatory therapeutic approaches to cancer development.”

    Thank you,

    Zabi Safi

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