Question 1

My ESR rate came back as 20.5. Is that considered normal or high for a 23-year-old male? Ive also been feeling tired, dizzy, and sometimes have trouble breathing. My hemoglobin is 14, which I know is normal, but could these symptoms be related to my ESR?

Accepted Answer

An ESR (Erythrocyte Sedimentation Rate) of 20.5 is slightly elevated for a 23-year-old male, as the normal range is typically between 0-15 mmhr; combined with your symptoms of fatigue, dizziness, and breathing discomfort, it's essential to consult your doctor to rule out underlying conditions such as inflammation, infection

Question 2

My mom is 48 and has been dealing with RA for 17 years, mostly on allopathic meds like DMARDS and Methotrexate. In 2015, she got diagnosed with ILD and was treated with Cyclophosphamide at AIIMS. Recently, she developed Avascular necrosis in both hips (stage 2 and 3) from long-term steroid use and had core decompression surgery. Now her doctors want to stop steroids and switch to Rituximab IV. Is there any Ayurvedic treatment that can completely cure these conditions? If yes, how long would the treatment take and what would it involve?

Accepted Answer

for P/E ORTHO specialist opinion is advised to the patient.

Question 3

I'm really worried about my mom's health. About a month ago, her ESR level was really high, around 120, when we took her to the doctor because she kept having back pain. They also told us she had low hemoglobin, and they gave her some meds to bring the ESR down. I just checked today, and it's now at 20, which seems better, but I'm still concerned. What are the chances she might have something serious like blood cancer or arthritis?

Accepted Answer

Coccydynia (Tailbone Pain)_

1. _Causes_: Coccydynia can be caused by a fall, direct blow, or repetitive strain on the tailbone.
2. _Symptoms_: Pain when sitting, standing, or changing positions, which matches your experience.

_Possible Reasons for Persistent Pain_

1. _Poor posture_: Slouching or slumping can put pressure on the tailbone.
2. _Muscle imbalances_: Weak or tight muscles in the pelvic floor, glutes, or lower back can contribute to tailbone pain.
3. _Referred pain_: Pain from the lower back, hips, or pelvis can radiate to the tailbone.

_Next Steps_

1. _Consult a specialist_: Schedule an appointment with a pain management specialist or a physiatrist to evaluate and treat the underlying cause.
2. _Physical therapy_: A physical therapist can help you with exercises to strengthen the surrounding muscles, improve posture, and reduce pain.
3. _Pain management options_: Your healthcare professional may recommend pain relief medications, injections, or other interventions to manage the pain.

_Dietary and Lifestyle Changes_

1. _Maintain good posture_: Make a conscious effort to sit and stand with proper posture.
2. _Exercise regularly_: Engage in gentle exercises, such as yoga or Pilates, to strengthen the core and surrounding muscles.
3. _Manage weight_: Maintaining a healthy weight can reduce pressure on the tailbone.

My ESR reading came back as 34 mmhour. I'm a bit worried about it. Is that something I should be concerned about at my age of 47? Could you give me some advice on how I might reduce it?

Patient is advised tab augmentin duo 625mg thrice daily, for 5 days, tab pan d,orally once daily for 14 days ,syrup sucralfate 10ml thrice daily for 14 days.Also avoid spicy and hot items is advised to the patient.

More Rheumatology Health Queries

My ESR rate came back as 20.5. Is that considered normal or high for a 23-year-old male? Ive also been feeling tired, dizzy, and sometimes have trouble breathing. My hemoglobin is 14, which I know is normal, but could these symptoms be related to my ESR?

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