ESR 87 mm/hr means : is it normal, good, bad or dangerous?

In this article we discuss what an ESR of 87 means, together with its causes, false elevations and whether it is good, bad or normal. We also delve into reasons for false elevation of ESR, and explain the significance of an ESR of 87 in pregnancy. We conclude with the ESR to CRP ratio that can help distinguish an infection from SLE.

What is ESR?

How is ESR measured?

The measurement of Erythrocyte Sedimentation Rate (ESR) involves the collection of a small blood sample from the patient's arm, typically drawn from a vein. Before the blood draw, the area is meticulously cleaned with an antiseptic solution to maintain sterility. Following the collection, the blood is mixed with an anticoagulant to prevent clotting. Subsequently, the prepared blood sample is placed in a tall, thin tube, which is then positioned upright. This allows red blood cells to settle over a specified period, usually one hour. The distance the red blood cells travel in the tube during this time is measured, and the settling rate is recorded. The Westergren method, a commonly employed technique for ESR measurement, uses a specialized Westergren tube for blood collection. To prepare 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. While fasting is not obligatory for ESR, maintaining adequate hydration is recommended to ensure a smooth blood draw and accurate results. ESR is a vital diagnostic tool, offering healthcare professionals valuable insights into inflammatory conditions within the body.

What is the normal range of ESR and how is an ESR of 87 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 87

Range	Classification	Comments
0 to 20	Normal
20-80	Elevated
>80	Very High

Normal Range and Grading for Adult Women : ESR 87

Range	Classification	Comments
0 to 20	Normal
20 to 30	Normal above 50 years of age, slightly elevated below 50 years of age
30-80	Elevated
>80	Very High

Normal Range and Grading for Children : ESR 87

Range	Classification	Comments
0 to 10	Normal
10-80	Elevated
>80	Very High

What does an ESR of 87 mm/hr mean?

An ESR level of 87 is considered to be dangerously or alarmingly elevated. You should get immediate medical attention, and a doctor must evaluate all your health parameters to arrive at a cause for this ESR level.Other tests will inevitably be prescribed and a detailed medical history will also need to be taken.

Is an ESR of 87 mm/hr good?

Is an ESR of 87 mm/hr bad?

Is an ESR of 87 mm/hr dangerous?

Is an ESR of 87 mm/hr normal?

What are the causes of an ESR of 87 mm/hr?

An ESR of 87 can have various causing including the following

Inflammation

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

Behçet's Disease

A rare inflammatory disorder causing blood vessel inflammation.

Obesity

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

Aging

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

Liver Disease

Certain liver conditions can be associated with higher ESR.

Chronic Obstructive Pulmonary Disease (COPD)

Inflammatory changes in the lungs can lead to an increased ESR.

Inflammatory Bowel Disease

Conditions like Crohn's disease and ulcerative colitis can cause elevated ESR.

Myeloma

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

Systemic Lupus Erythematosus

An autoimmune disease that can affect multiple organs.

Polymyalgia Rheumatica

An inflammatory disorder that commonly affects older adults.

Certain Cancers

Some cancers, especially those associated with inflammation, can cause an increase in ESR.

Certain Medications

Some medications, such as corticosteroids, can influence ESR levels.

What are the causes for a falsely elevated ESR value of 87?

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

Iron Deficiency

Mild iron deficiency can affect the composition of blood, potentially leading to changes in ESR levels. Adequate iron levels are essential for overall health, and addressing iron deficiency is important for maintaining optimal blood parameters.

Genetic Factors

Genetic variations can contribute to individual differences in baseline ESR levels. While genetics play a role, lifestyle factors and overall health also significantly influence ESR. Understanding genetic predispositions can provide insights into an individual's inflammatory response.

Recent Vaccination

Vaccination stimulates the immune system, triggering an inflammatory response. This immune activity can lead to a temporary increase in ESR levels as part of the body's natural defense mechanism. The elevation is usually transient and not indicative of a pathological condition.

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.

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.

Strenuous Exercise

Intense physical activity, especially when not part of the routine, can cause muscle and tissue damage, triggering an inflammatory response. This acute inflammation can lead to a temporary increase in ESR. Regular exercise, however, generally has a positive impact on overall health.

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.

Race/Ethnicity

ESR levels can exhibit variations among different racial and ethnic groups. Genetic and environmental factors specific to certain populations may contribute to these differences. However, individual health and lifestyle choices remain crucial factors influencing ESR levels.

Sleep Patterns

Disruptions in sleep patterns, including irregular sleep duration and quality, can influence the body's inflammatory response. Sleep deprivation or poor sleep hygiene may contribute to elevated ESR levels. Prioritizing good sleep habits is essential for overall health.

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.

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.

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.

What does an ESR of 87 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 87 can be classified as below.
If you are in the first three months of pregnancy an ESR of 87 is elevated
If you are in the second trimester or months 3-6 of pregnancy an ESR of 87 is elevated
If you are in the third trimester or months 7-9 of pregnancy an ESR of 87 is elevated

What are the symptoms of an ESR of 87 ?

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 87

Headaches

Recurrent or persistent headaches.

Dizziness

Feeling lightheaded or unsteady.

Hair Loss

Unexplained loss of hair.

Recurrent Infections

Frequent or persistent infections.

Dry Eyes and Mouth

Symptoms of Sjögren's syndrome.

Cognitive Impairment

Memory problems or difficulty concentrating.

Skin Rashes

Unexplained skin eruptions or changes.

Joint Pain

Discomfort, swelling, or stiffness in the joints.

Shortness of Breath

Difficulty breathing or breathlessness.

Mouth Ulcers

Sores in the mouth that may be painful.

Swollen Lymph Nodes

Enlarged and tender lymph nodes.

Cough

Persistent or chronic coughing.

Fever

Elevated body temperature beyond normal range.

Depression

Persistent feelings of sadness or hopelessness.

Vision Changes

Blurred vision or other visual disturbances.

Difficulty Sleeping

Insomnia or disrupted sleep patterns.

Fatigue

Persistent tiredness and lack of energy.

Abnormal Blood Counts

Changes in white blood cell count or other blood parameters.

Photosensitivity

Increased sensitivity to sunlight.

Digestive Issues

Irregular bowel movements, diarrhea, or constipation.

Neurological Symptoms

Tingling, numbness, or weakness.

Abdominal Pain

Discomfort or pain in the abdominal region.

Chest Pain

Pain or discomfort in the chest area.

Unexplained Weight Loss

Losing weight without intentional changes in diet or exercise.

Frequent Urination

Increased need to urinate.

Muscle Aches

Generalized or localized pain in muscles.

Which foods can reduce an ESR of 87 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.

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.

Probiotics

Foods enriched with probiotics, like yogurt and fermented products, support a healthy gut microbiome. A balanced gut contributes to reduced inflammation and improved overall well-being, aligning with the principles of the Mediterranean diet.

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.

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.

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.

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.

What other tests should be done with an ESR of 87 mm/hr ?

For an ESR of 87, 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

Test	Description
High Sensitivity CRP	High Sensitivity C-Reactive Protein (CRP) test measures inflammation in the body.
LDH	Lactate Dehydrogenase (LDH) test assesses tissue damage and disease and inflammation in the body
Ferritin	Ferritin test measures the levels of iron storage in the body, as well as the level of inflammation in the body.

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 87

What is my ESR:CRP ratio for an ESR of 87 mm/hr ?

ESR	CRP	Ratio	Means
87	1.0	87.0	More likely to be autoimmune disease flareup of SLE
87	1.5	58.0	More likely to be autoimmune disease flareup of SLE
87	2.0	43.5	More likely to be autoimmune disease flareup of SLE
87	2.5	34.8	More likely to be autoimmune disease flareup of SLE
87	3.0	29.0	More likely to be autoimmune disease flareup of SLE
87	3.5	24.857142857142858	More likely to be autoimmune disease flareup of SLE
87	4.0	21.75	More likely to be autoimmune disease flareup of SLE
87	4.5	19.333333333333332	More likely to be autoimmune disease flareup of SLE
87	5.0	17.4	More likely to be autoimmune disease flareup of SLE
87	5.5	15.818181818181818	More likely to be autoimmune disease flareup of SLE
87	6.0	14.5	Inconclusive
87	6.5	13.384615384615385	Inconclusive
87	7.0	12.428571428571429	Inconclusive
87	7.5	11.6	Inconclusive
87	8.0	10.875	Inconclusive
87	8.5	10.235294117647058	Inconclusive
87	9.0	9.666666666666666	Inconclusive
87	9.5	9.157894736842104	Inconclusive
87	10.0	8.7	Inconclusive
87	10.5	8.285714285714286	Inconclusive
87	11.0	7.909090909090909	Inconclusive
87	11.5	7.565217391304348	Inconclusive
87	12.0	7.25	Inconclusive
87	12.5	6.96	Inconclusive
87	13.0	6.6923076923076925	Inconclusive
87	13.5	6.444444444444445	Inconclusive
87	14.0	6.214285714285714	Inconclusive
87	14.5	6.0	Inconclusive
87	15.0	5.8	Inconclusive
87	15.5	5.612903225806452	Inconclusive
87	16.0	5.4375	Inconclusive
87	16.5	5.2727272727272725	Inconclusive
87	17.0	5.117647058823529	Inconclusive
87	17.5	4.9714285714285715	Inconclusive
87	18.0	4.833333333333333	Inconclusive
87	18.5	4.702702702702703	Inconclusive
87	19.0	4.578947368421052	Inconclusive
87	19.5	4.461538461538462	Inconclusive
87	20.0	4.35	Inconclusive
87	20.5	4.2439024390243905	Inconclusive
87	21.0	4.142857142857143	Inconclusive
87	21.5	4.046511627906977	Inconclusive
87	22.0	3.9545454545454546	Inconclusive
87	22.5	3.8666666666666667	Inconclusive
87	23.0	3.782608695652174	Inconclusive
87	23.5	3.702127659574468	Inconclusive
87	24.0	3.625	Inconclusive
87	24.5	3.5510204081632653	Inconclusive
87	25.0	3.48	Inconclusive
87	25.5	3.411764705882353	Inconclusive
87	26.0	3.3461538461538463	Inconclusive
87	26.5	3.2830188679245285	Inconclusive
87	27.0	3.2222222222222223	Inconclusive
87	27.5	3.1636363636363636	Inconclusive
87	28.0	3.107142857142857	Inconclusive
87	28.5	3.0526315789473686	Inconclusive
87	29.0	3.0	Inconclusive
87	29.5	2.9491525423728815	Inconclusive

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