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Dr. Saha
Dr. Saha, Doctor (MD)
Category: Health
Satisfied Customers: 17770
Experience:  35 years of experience
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ESR test shows 24 and WBC count is 11.3. What does it mean?

Customer Question

I am 22 year old girl. My esr test shows a value of 24 and WBC count 11.3. What does it mean? I have swelling around my ankle below shin from last 2 weeks.
No recent injuries. Sometimes, I feel pain in different parts of my body after waking up in the morning, like pain in fingers, hands.
Submitted: 1 month ago.
Category: Health
Expert:  Dr. Saha replied 1 month ago.

Is the swelling on one or both legs?

Is it painful?

Did you have the test for this swelling or is there any other symptom?

Did you have any other test?

Customer: replied 1 month ago.
On both legs
Yeah sometimes I feel pain in both legs specially in left leg.
I have attached the test report for your ref.
Expert:  Dr. Saha replied 1 month ago.

I have seen the reports.

Did you have any other test? any ultrasound of leg?

Do you have any other past illness?

Customer: replied 1 month ago.
Plz find attached 4 reports for your info.
Expert:  Dr. Saha replied 1 month ago.

Which treatment are you getting now?

Customer: replied 1 month ago.
Till now nothing. I have an appointment with orthopaedic doctor on tuesday
Expert:  Dr. Saha replied 1 month ago.

I am sorry for your symptoms.
ESR or Sed rate does not pinpoint to a diagnosis.
It can be raised in many inflammatory conditions.
An infection can also raise the level.
Besides infection or inflammation, it can be raised in anemia.
But your hemoglobin is not that low.
Increase in WBC count suggest an infection or inflammation too.
Your other reports suggest rh arthritis.
Swelling of joints occur from it.
In Rh arthritis, ESR can be raised.
I feel you need an evaluation by a rheumatologist.Your RA factor is positive.

So an evaluation by rheumatologist would be helpful.

Customer: replied 1 month ago.
Is it a serious disease?
Expert:  Dr. Saha replied 1 month ago.

It is not serious but would need regular follow ups.

Customer: replied 1 month ago.
What is the exact reason for this
Expert:  Dr. Saha replied 1 month ago.

This indicates low vitamin D.

Vitamin D deficiency is there.

This can occur from less intake, less exposure to sunlight.

Customer: replied 1 month ago.
Ok thanks alot