ESR 72 mm/hr means : is it normal, good, bad or dangerous?

Published Date : 2023-12-06T13:31:03.637Z

Updated Date : 2023-12-06T13:31:03.637+00:00

What is ESR?

How is ESR measured?

The measurement of Erythrocyte Sedimentation Rate (ESR) involves a process of collecting a small blood sample from the patient, typically from a vein in the arm. Before the blood draw, the area is cleaned with an antiseptic solution to ensure sterility. Once collected, the blood is mixed with an anticoagulant to prevent clotting. Subsequently, the blood is placed in a tall, thin tube, and the tube is positioned upright to allow the red blood cells to settle over a specific period, often one hour. The distance the red blood cells travel in the tube during this time is then measured, and the settling rate is recorded. The Westergren method, a widely used technique for ESR measurement, involves the use of a specialized Westergren tube for blood collection. In preparation for the test, patients are generally advised to inform their healthcare provider about any medications they are taking, as certain drugs can impact the results. Fasting is not mandatory for ESR, but maintaining hydration is recommended to facilitate a smoother blood draw and ensure accurate results. ESR is an essential diagnostic tool, helping healthcare professionals assess and monitor inflammatory conditions within the body.

What is the normal range of ESR and how is an ESR of 72 graded?

Different sources mention slightly different normal ranges for ESR. The normal range also varies slightly based on the method of measurement. When measured by the Westergren method, the normal range for ESR is mentioned below for adult males, adult females and children.

Normal Range and Grading for Adult Males : ESR 72

Normal Range and Grading for Adult Women : ESR 72

Normal Range and Grading for Children : ESR 72

What does an ESR of 72 mm/hr mean?

An ESR level of 72 is considered to be significantly elevated. A cause must be found for the elevated ESR, while ruling out normal or physiological causes. An ESR between 50 and 80, is definitely not normal and must be further investigated together with additional tests, that are listed in a subsequent section.

Is an ESR of 72 mm/hr good?

An ESR of 72 is not a good value. In adults, or children this value is above normal and needs investigating.

Is an ESR of 72 mm/hr bad?

An ESR of 72 is bad in all populations and should be further investigated.

Is an ESR of 72 mm/hr dangerous?

An ESR of 72 is elevated but not necessarily dangerous

Is an ESR of 72 mm/hr normal?

An ESR of 72 is not normal and is classified as elevated.

What are the causes of an ESR of 72 mm/hr?

An ESR of 72 can have various causing including the following

Rheumatoid Arthritis

A chronic inflammatory disorder affecting the joints.

Temporal Arteritis

An inflammatory condition affecting the blood vessels.

Myeloma

A type of cancer that affects plasma cells in the bone marrow.

Thyroid Disorders

Both hyperthyroidism and hypothyroidism can influence ESR levels.

Chronic Kidney Disease

Impaired kidney function can lead to higher ESR levels.

Tissue injury

Any injury or trauma to tissues can result in an elevated ESR.

Aging

ESR tends to increase with age, and mild elevation may be normal in elderly individuals.

Inflammation

Any inflammatory condition in the body can cause an elevation in ESR.

Sickle Cell Anemia

A genetic blood disorder affecting red blood cells.

Dehydration

Though less common, dehydration can affect blood viscosity and ESR.

Obesity

Higher body mass index (BMI) has been associated with increased ESR.

Anemia

Certain types of anemia, such as sickle cell anemia, can be associated with an elevated ESR.

What are the causes for a falsely elevated ESR value of 72?

There are certain normal or physiological conditions in which the ESR May be falsely elevated or elevated without any abnormality.

Blood Donation

Recent blood donation can lead to a temporary decrease in the number of red blood cells, affecting blood viscosity. This change may contribute to a transient increase in ESR. Understanding the timing of blood donation is essential for accurate interpretation of ESR results.

Hormonal Contraceptives

The use of hormonal contraceptives can impact hormonal levels in the body, potentially affecting the inflammatory response. This can lead to variations in ESR levels in some individuals. It's important for healthcare providers to consider these factors when interpreting ESR results in individuals using hormonal contraceptives.

Postpartum Period

In the postpartum period following childbirth, the body goes through a process of recovery and adaptation. Hormonal changes, including a decrease in pregnancy-related hormones, can contribute to temporary fluctuations in ESR levels.

Dehydration

Dehydration can result in reduced plasma volume, affecting blood viscosity. This change in blood composition may lead to an elevation in ESR. It's essential to maintain proper hydration levels for overall health and accurate blood test results.

Obesity

Obesity is linked to chronic low-grade inflammation, and individuals with higher body mass indexes (BMIs) may experience elevated ESR levels. Adipose tissue releases inflammatory molecules, influencing the overall inflammatory status in the body. Maintaining a healthy weight is crucial for overall well-being.

Ovulation

The process of ovulation in the menstrual cycle involves hormonal changes that can affect ESR levels. Fluctuations in estrogen and progesterone during ovulation contribute to variations in the inflammatory response, leading to changes in ESR.

Surgery

Postoperative recovery involves a complex interplay of physiological responses, including inflammation. Surgery can lead to a temporary increase in ESR as part of the body's natural healing process. Monitoring ESR levels post-surgery is a routine part of medical care.

Temperature Changes

Extreme temperatures, whether due to fever or exposure to cold, can affect the viscosity of blood. These temperature-related changes can influence ESR levels. Monitoring body temperature and addressing the underlying cause is important for accurate interpretation of ESR results.

Pregnancy

During pregnancy, the body undergoes significant hormonal and physiological changes. The increased blood volume, hormonal fluctuations, and immune system adaptations can contribute to higher ESR levels. This elevation is often considered normal in pregnant individuals.

Stress

Physiological stress triggers the release of stress hormones and inflammatory mediators, potentially leading to a temporary increase in ESR. Chronic stress can have negative effects on overall health, emphasizing the importance of stress management for well-being.

Sleep Deprivation

Lack of sleep can be associated with changes in inflammatory markers, including ESR. Sleep deprivation disrupts the body's natural regulatory processes, affecting the immune system and potentially leading to an elevation in ESR. Prioritizing sufficient and quality sleep is crucial for overall health.

Menstrual Cycle

Throughout the menstrual cycle, hormonal fluctuations, especially variations in estrogen levels, can influence the inflammatory response in the body, leading to periodic changes in ESR. This is particularly noticeable during the menstrual period.

What does an ESR of 72 in pregnancy mean?

The normal range of ESR during pregnancy is different in the different months or trimesters of pregnancy. This is because pregnancy causes a small rise in the ESR, which is considered normal. The following table lists the normal ranges.

Trimester	Lower Limit	Upper Limit
1st	4	57
2nd	7	47
3rd	13	70

Based on these criteria, your ESR of 72 can be classified as below.
If you are in the first three months of pregnancy an ESR of 72 is elevated
If you are in the second trimester or months 3-6 of pregnancy an ESR of 72 is elevated
If you are in the third trimester or months 7-9 of pregnancy an ESR of 72 is elevated

What are the symptoms of an ESR of 72 ?

ESR itself does not cause any direct symptoms. The symptoms of ESR are due the underlying disease process. The following is a list of symptoms that may be associated with an ESR of 72

Difficulty Sleeping

Insomnia or disrupted sleep patterns.

Neurological Symptoms

Tingling, numbness, or weakness.

Night Sweats

Excessive sweating during sleep.

Chest Pain

Pain or discomfort in the chest area.

Dizziness

Feeling lightheaded or unsteady.

Shortness of Breath

Difficulty breathing or breathlessness.

Abnormal Blood Counts

Changes in white blood cell count or other blood parameters.

Nausea and Vomiting

Feeling of sickness and vomiting.

Cognitive Impairment

Memory problems or difficulty concentrating.

Frequent Urination

Increased need to urinate.

Cough

Persistent or chronic coughing.

Digestive Issues

Irregular bowel movements, diarrhea, or constipation.

Fever

Elevated body temperature beyond normal range.

Irregular Menstrual Cycles

Changes in menstrual patterns for women.

Hair Loss

Unexplained loss of hair.

Depression

Persistent feelings of sadness or hopelessness.

Vision Changes

Blurred vision or other visual disturbances.

Muscle Aches

Generalized or localized pain in muscles.

Swollen Lymph Nodes

Enlarged and tender lymph nodes.

Recurrent Infections

Frequent or persistent infections.

Mouth Ulcers

Sores in the mouth that may be painful.

Photosensitivity

Increased sensitivity to sunlight.

Headaches

Recurrent or persistent headaches.

Fatigue

Persistent tiredness and lack of energy.

Abdominal Pain

Discomfort or pain in the abdominal region.

Skin Rashes

Unexplained skin eruptions or changes.

Which foods can reduce an ESR of 72 mm/hr?

Based on a study by Hulander et al, eating foods that lower inflammation can lead to a lowered value of ESR. The following foods can be consumed to try to reduce inflammation.

Fatty Fish

Fatty fish, such as salmon and mackerel, are rich in omega-3 fatty acids. These acids have anti-inflammatory properties, making fatty fish an excellent choice in the Mediterranean diet to combat inflammation.

Fruits

Various fruits, including citrus fruits and berries, are packed with vitamins, minerals, and antioxidants. Their consumption is associated with reduced inflammation, aligning with the Mediterranean diet's focus on whole, nutrient-dense foods.

Vegetables

A diverse array of vegetables is a cornerstone of the Mediterranean diet. They provide essential nutrients and phytochemicals that contribute to reducing inflammation and supporting overall health.

Nuts

Nuts, like almonds and walnuts, are rich in healthy fats and antioxidants. They contribute to the anti-inflammatory effects of the Mediterranean diet, supporting heart health and overall well-being.

Legumes

Legumes, such as lentils and chickpeas, are high in phytochemicals. These compounds have anti-inflammatory effects, making legumes an essential part of the Mediterranean diet for promoting a healthier lifestyle.

Whole Grains

Whole grains are a key component of the Mediterranean diet, providing essential nutrients and fiber. They contribute to reducing inflammation and promoting overall health.

What other tests should be done with an ESR of 72 mm/hr ?

For an ESR of 72, other tests can be done to further ascertain the immune status of the body, as well as rule out infections or malignancies if any.
The following table lists other tests that can be done.

Lab Tests Related to ESR

What is the ESR to CRP ratio and why does it matter?

The ESR to CRP ratio is the ratio of the Erythryocyte Sedimentation Rate in mm/hr to the C-Reactive Protein Value. The ratio has value in patients with Systemic Lupus Erythematosus. If the value is below 2 it indicates that the patient has an infection in addition to the SLE. If the value is above 15 it is more likely to be a flare up of SLE. You can find the ratio calculated for various values of CRP given your ESR value of 72

What is my ESR:CRP ratio for an ESR of 72 mm/hr ?

ESR	CRP	Ratio	Means
72	1.0	72.0	More likely to be autoimmune disease flareup of SLE
72	1.5	48.0	More likely to be autoimmune disease flareup of SLE
72	2.0	36.0	More likely to be autoimmune disease flareup of SLE
72	2.5	28.8	More likely to be autoimmune disease flareup of SLE
72	3.0	24.0	More likely to be autoimmune disease flareup of SLE
72	3.5	20.571428571428573	More likely to be autoimmune disease flareup of SLE
72	4.0	18.0	More likely to be autoimmune disease flareup of SLE
72	4.5	16.0	More likely to be autoimmune disease flareup of SLE
72	5.0	14.4	Inconclusive
72	5.5	13.090909090909092	Inconclusive
72	6.0	12.0	Inconclusive
72	6.5	11.076923076923077	Inconclusive
72	7.0	10.285714285714286	Inconclusive
72	7.5	9.6	Inconclusive
72	8.0	9.0	Inconclusive
72	8.5	8.470588235294118	Inconclusive
72	9.0	8.0	Inconclusive
72	9.5	7.578947368421052	Inconclusive
72	10.0	7.2	Inconclusive
72	10.5	6.857142857142857	Inconclusive
72	11.0	6.545454545454546	Inconclusive
72	11.5	6.260869565217392	Inconclusive
72	12.0	6.0	Inconclusive
72	12.5	5.76	Inconclusive
72	13.0	5.538461538461538	Inconclusive
72	13.5	5.333333333333333	Inconclusive
72	14.0	5.142857142857143	Inconclusive
72	14.5	4.9655172413793105	Inconclusive
72	15.0	4.8	Inconclusive
72	15.5	4.645161290322581	Inconclusive
72	16.0	4.5	Inconclusive
72	16.5	4.363636363636363	Inconclusive
72	17.0	4.235294117647059	Inconclusive
72	17.5	4.114285714285714	Inconclusive
72	18.0	4.0	Inconclusive
72	18.5	3.891891891891892	Inconclusive
72	19.0	3.789473684210526	Inconclusive
72	19.5	3.6923076923076925	Inconclusive
72	20.0	3.6	Inconclusive
72	20.5	3.5121951219512195	Inconclusive
72	21.0	3.4285714285714284	Inconclusive
72	21.5	3.3488372093023258	Inconclusive
72	22.0	3.272727272727273	Inconclusive
72	22.5	3.2	Inconclusive
72	23.0	3.130434782608696	Inconclusive
72	23.5	3.0638297872340425	Inconclusive
72	24.0	3.0	Inconclusive
72	24.5	2.938775510204082	Inconclusive
72	25.0	2.88	Inconclusive
72	25.5	2.823529411764706	Inconclusive
72	26.0	2.769230769230769	Inconclusive
72	26.5	2.7169811320754715	Inconclusive
72	27.0	2.6666666666666665	Inconclusive
72	27.5	2.618181818181818	Inconclusive
72	28.0	2.5714285714285716	Inconclusive
72	28.5	2.526315789473684	Inconclusive
72	29.0	2.4827586206896552	Inconclusive
72	29.5	2.440677966101695	Inconclusive