MEDiscuss • vBCms Comments • Article: Erythrocyte Sedimentation Rate

I am a 22 yr old.My ESR is 46!I am having a burning sensation inside the right side of my chest since 5 days.It become worse when I try to eat or drink,My home physician has suspected Oesophagial Spasm.Will u be kind enough to you help me to diagnose?

@22 yr with ESR 46: Your family physician seems correct. Additional differential diagnosis include oesophagitis and gastro-oesophageal reflux disease. May be you can request your doctor to consider adding a proton pump inhibitor for a few days and if there is no improvement, plan oesophageal manometry and upper GI endoscopy.

I am 33 year old male. I had severe pain in my right big toe finger for 2 days. Doc suggested uric acid level testing and esr. UA level is 6.7 mg/dl and esr is 1mm/hr. What does that indicate?

Severe pain in the big toe usually raises the suspicion of acute gouty arthritis. While serum uric acid levels and ESR are the first tests done to look for clues (both of which are expected to be elevated, but normal in your case) it is often a clinical diagnosis or based on synovial fluid aspiration from the joint. A normal UA level does not rule out gout. He will treat you with analgesics, preferably with along with colchicine.

Originally Posted by Unregistered

I am a 22 yr old.My ESR is 46!I am having a burning sensation inside the right side of my chest since 5 days.It become worse when I try to eat or drink,My home physician has suspected Oesophagial Spasm.Will u be kind enough to you help me to diagnose?

Thank u sir.
Can u suggest me a diet I should follow at this moment.

This is becoming a bit difficult to handle with many showing as 'Unregistered'
Just avoid taking spicy food and food with high temperature. Avoiding coffee and tea also helps.

i am having a ESR as 10mm for ist hour
ESR as 28mm for second hour
what does this really mean,I am pretty healthy?
kindly answer sir.

@sasankha: Yes, your results are normal.

dear sir
i am a 24 yr old woman and got my tests done today .. my esr level came out to be 41 .. i am suffering from mild fever since the past 4 days .. is this normal ? everything else was normal .. including the haemoglobin which came as 13.5 .. i would really appriciate your response ..

@Varsha: ESR of 41 in the presence of fever is expected (due to the inflammation that is causing the fever). It is not very high to suggest any serious causes.

Even if the cause is viral fever, this ESR is usual. However, if the fever continues beyond 7-8 days, you need to get yourself examined by a physician.