Question 1

I've been having really bad head pain for the last 2 weeks. I got a blood test done, and it shows my ESR level is 72.1. I've attached the blood report here. Can you help me understand why it's so high? What could be the issue here, and which doctor should I talk to for this?

Accepted Answer

A high ESR level can indicate inflammation in the body, which could be due to various reasons such as infection, autoimmune diseases, or certain types of cancer. In your case, the high ESR level may be related to the underlying cause of your severe head pain. To address this issue, you can consult a Neurologist for further evaluation and management of your head pain. In the meantime, you can take Acetaminophen (Tylenol) 500mg every 4-6 hours as needed for pain relief. However, it is important to follow up with a Neurologist for a comprehensive assessment and appropriate treatment plan.

Question 2

I'm really concerned because my ESR is at 80mm after the first hour, as per the report, and for the last two months, I've been dealing with frequent fevers. I had viral fever, then got typhoid twice, and recently another fever hit me. My doctor suggested some tests, and most came back fine, except for an abdominal scan that showed my liver has increased in size and my ESR is high. Could you help me understand what's going on?

Accepted Answer

Recurring swollen lymph nodes can be frustrating.

_Possible causes:_

1. _Recurring infections_: Frequent colds or sinus infections might cause the lymph node to swell.
2. _Dental issues_: Tooth abscesses, gum disease, or other dental problems can cause lymph node swelling.
3. _Allergies or sensitivities_: Seasonal allergies or sensitivities to certain foods or substances might contribute to the swelling.

_Consider the following:_

1. _Dental checkup_: Schedule a dental appointment to rule out any underlying dental issues.
2. _Allergy testing_: If you suspect allergies, consider consulting an allergist for testing.
3. _Imaging tests_: Your doctor might recommend imaging tests (e.g., ultrasound or CT scan) to evaluate the lymph node.
4. _Monitor and track_: Keep a record of when the swelling occurs, any potential triggers, and how long it lasts.

Question 3

I've been told my uric acid level is at 9.9. Can you tell me if it's okay for me to eat kala chana? Is it good for managing my condition? Also, what other things should I be doing or eating to help control my uric acid levels, and what should I definitely avoid?

Accepted Answer

avoid sweetining agents ,no issue with kala chana

I'm taking HCQS tablets in the morning and at night for synovitis treatment, but I recently noticed during a routine blood test that my iron levels are low. Is there a particular iron supplement I can take alongside HCQS without worrying about any interactions?

You can consider taking ferrous sulfate or ferrous fumarate iron supplements, which are generally well-tolerated and less likely to interact with HCQS

More Rheumatology Health Queries

I've been having really bad head pain for the last 2 weeks. I got a blood test done, and it shows my ESR level is 72.1. I've attached the blood report here. Can you help me understand why it's so high? What could be the issue here, and which doctor should I talk to for this?

I've been told my uric acid level is at 9.9. Can you tell me if it's okay for me to eat kala chana? Is it good for managing my condition? Also, what other things should I be doing or eating to help control my uric acid levels, and what should I definitely avoid?

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