ESR is high

[mmg1977]

hi,my mother is 62 years old , she has slight Rheumatoid arthritis and uses 1.25 mg ( quarter of prednisolone 5 mg) per day, she's new test shows ESR 1st hr : 34 mm/hr , it's three times more than normal.but other results are normal.I can't understand the prob.please help.

[mmg1977]

Her Doctor prescribed : Calcium , Hematinic,Vitamin B1,B6,B12 complex ,Ranitidine, before RA factor & Anti-CCP check but I am not satisfied.

[mmg1977]

you are right,like Anemia.but she has persistent RA ,I checked the records for 10 years and ESR just increasing stepwise but you're right we need RA factor and Anti-CCP as Pantx said.I will do it.thanks.

[Pantx]

Have doctor check Anti-CPP and RA factor if those are elevated she may need to see a rheumatologist.  It is possible that her prednisone dose is too low or she needs to be on  a DMARD (anti-rheumatic drug)

[mkh9]

Also, the ESR is a not specific test for inflammation. So, if she has any other inflammation in her body besides RA the ESR could go up. I don't know if this helps answer your question.
mkh9

[mmg1977]

Thanks, unfortunately ANTI-CCP and RA factor is not tested ( mentioned test was for normal check up ), yes sometimes she has pain in fingers only .

[Pantx]

what does her ANTI-CCP and RA Factor show? is she in any pain? She might need to go up on prednisolone