What is an ESR test, why is it performed, and what happens if ESR levels rise?

What is ESR? (erythrocyte sedimentation rate)

ESR(erythrocyte sedimentation rate) is a blood test. Doctors recommend it when a person has an infection or inflammation. These tests can usually be performed even in small labs, and they are not as dangerous as we think.

red blood cell

Why is the ESR test performed?

This test is performed when you consult a doctor due to an infection or inflammation somewhere in your body; based on your symptoms, the doctor prescribes the ESR test alongside other tests.

Based on which symptoms do doctors recommend an ESR test?

It does not have just one symptom; rather, there are several symptoms associated with it, such as...

  • There is an infection in the body
  • Inflammation in some areas
  • Experiencing a persistent sensation of coldness in the body over a long period.
  • Muscle pain
  • Feeling weak for a few days
  • Fever and headache
How is the ESR test performed?, Let's find out how it is done.
  • This is a standard blood test that can be done at a small-scale laboratory.
  • This test is performed according to the doctor's advice. If you wish, you can go directly to the lab technician and get this test done. If you would like to do that.
  • First, the lab technician will draw some blood from your vein, and then place the blood into a sodium citrate vial.
  • Then, it will be placed into the ESR pipette or ESR stick.
  • The reading is taken after one hour.
  • Its measurement range is always between 0 and 140.
  • The result is based on the extent of the reduction observed within one hour. The result is reported accordingly.
  • Remember that the reading is always taken from the bottom up—for instance, from 0 to 140.
  • It is measured in mm/hr.
blood test
Is ESR a disease?

No, ESR is not a disease; rather, it is a blood test used to detect infection or inflammation anywhere in the body. Keep in mind that it does not pinpoint a specific part of the body or the exact cause of an illness; doctors conduct other tests to diagnose a specific condition.

Does an elevated ESR mean there is an infection in the body?

We cannot simply say that an elevated ESR indicates an infection in the body; there are several other reasons why ESR levels can rise. Conditions such as rheumatoid arthritis, pregnancy, kidney disease, anemia, and elevated levels of C-reactive protein can also sometimes cause an increase in ESR.

Can a patient die if the ESR value rises significantly?

An elevated ESR level does not cause the patient's death; rather, it indicates an underlying infection or inflammation in the body (or it could be due to the previously mentioned reason). You should show the report to a doctor without delay.

Does a patient stop walking or moving around if their ESR level is very high?

While not in every patient, in some cases where ESR levels remain elevated (above 100), it has been observed that patients experience swelling particularly in the legs and similar areas along with some difficulty in walking or moving about.

What is the normal range for an ESR test?

Generally, its price in India ranges between 100 and 300, but it may vary in other countries.

Are ESR and C-reactive protein (CRP) the same?

No, these tests are not the same even though the reason for performing them might be the same, the tests themselves are different. Let us understand the difference between the two.

                                 ESR

                       CRP

  •  It cannot identify any specific disease.

  •   It cannot identify any specific disease.

  •  Sodium citrate is used in the blood sample for this purpose.

  •  For this, the test is conducted using clotted blood or serum from a blood sample.

  •  Its report is available within a day.

  •  Its report is available within a day.

  • Tests are conducted to detect conditions such as infections, inflammation, muscle pain, cough, anemia, fever, kidney disease, swelling in the body, and heart disease.

  •  Tests are conducted to detect conditions such as infections, inflammation, muscle pain, cough, anemia, fever, kidney disease, swelling in the body, and heart disease.

  •  It costs around 100–300 (in India).

  •  It costs approximately 70 to 400 (in India).

 What is the normal range for ESR?


Normally, the ESR range is 0–15, but it is important to remember that the normal range can vary across different lab reports.

If the ESR level is high, can I go to a pharmacy myself and buy the medication?

No, we should not do that. If the ESR level is high, we should consult a doctor and take medication accordingly.

If ESR levels are high, should we consult a doctor?

Yes, no illness should be ignored. If ESR levels are high whether or not symptoms are present it could indicate an underlying issue; therefore, you should consult a doctor without delay.
consult the doctor


Is it necessary to fasting for an ESR blood test?

It doesn't make much difference; you can do it after a meal or on an empty stomach.

Let's look at some multiple-choice questions and answers.

1. Full form of ESR ?

(i) Erythrocyte sedimentation rate                (ii) Ethylene sedimentation rate   

(iii) Electrolytes sedimentation rate              (iv) Erythrocyte sedimentation ratio 

Answer : Erythrocyte sedimentation rate     

2. In which units is ESR measured?

(i) Kg                                                             (ii) mm/hr

(iii) G/Dl                                                        (iv) Ltr.  

Answer : mm/hr

3. What kind of test is ESR?

(i) Ultrasound                                                (ii) Urine

(iii) X-ray                                                      (iv) Blood

Answer :  Blood

4. What does the ESR test reveal?

(i) About the liver                                         (ii) Gallbladder and gallstone

(iii) Infections and Inflammations                (iv) Hair fall 

Answer : Infections and Inflammations  

5. What should be done if the ESR level rises?

(i) Exercise                                                  (ii) You should consult a doctor.

(iii) Drinking plenty of water                      (iv) Taking medication on one's own accord 

Answer : You should consult a doctor

DISCLAIMER : All content available on this website is for informational purposes only. This content is not a substitute for professional medical advice. If you are suffering from any illness, please consult a doctor immediately. Do not disregard your doctor's advice based on the information provided on this website.

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