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Dr. Saha
Dr. Saha, Doctor (MD)
Category: Health
Satisfied Customers: 17638
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: 6 days ago.
Category: Health
Expert:  Dr. Saha replied 6 days 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 6 days 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 6 days 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 6 days ago.
Plz find attached 4 reports for your info.
Expert:  Dr. Saha replied 6 days ago.

Which treatment are you getting now?

Customer: replied 6 days ago.
Till now nothing. I have an appointment with orthopaedic doctor on tuesday
Expert:  Dr. Saha replied 6 days 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 6 days ago.
Is it a serious disease?
Expert:  Dr. Saha replied 6 days ago.

It is not serious but would need regular follow ups.

Customer: replied 6 days ago.
What is the exact reason for this
Expert:  Dr. Saha replied 6 days ago.

This indicates low vitamin D.

Vitamin D deficiency is there.

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

Customer: replied 6 days ago.
Ok thanks alot

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