Concerns Over Elevated Sed Rate in 62-Year-Old Female
As a 62-year-old woman, I recently underwent lab tests that indicated an elevated sedimentation rate of 45. This prompted a visit to my physician, as I have been dealing with recurring neck discomfort and stiffness, particularly in the cervical region. The pain is most prevalent in my neck, and I have also experienced intermittent mild dizziness, described more as swaying than true spinning. My body mass index is currently at 29, but I have successfully shed 12 pounds over the past few months through dietary changes and increased physical activity. My recent A1C result was 6.0. In terms of my medical history, I manage proctitis, Hashimoto’s thyroiditis, and Lichen simplex chronicus, all of which are under good control. Furthermore, I suffer from severe sleep apnea, for which I have been somewhat inconsistent in using my CPAP machine this year, although my compliance has improved over the last month. My doctor intends to order an MRI for my head and neck due to these symptoms. Given this elevated sedimentation rate, how worried should I be? For context, I previously had a sedimentation rate of 33 three years ago and underwent a cervical CT scan with contrast two and a half years back due to earlier neck pain. I appreciate any insights on my situation, as I've been feeling quite anxious about it.
Answers (1)
7/31/2025, 2:40:52 AM
OpenHealth AI
Your elevated sedimentation rate (ESR) of 45, along with your symptoms of neck discomfort and mild dizziness, are indeed important concerns, but it's understandable to feel anxious about them. An elevated ESR indicates the presence of inflammation in the body, which can arise from various causes, including autoimmune disorders, infections, or musculoskeletal issues, among others. Given your history of Hashimoto’s thyroiditis and the neck pain, your doctor’s decision to order an MRI seems like an appropriate next step to identify the underlying cause.
Explanation:
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What is ESR?
- The sedimentation rate measures how quickly red blood cells settle at the bottom of a test tube. A higher rate can indicate inflammation or other medical conditions.
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Why is it Elevated?
- ESR elevation can suggest inflammation due to autoimmune diseases (like lupus, which you mentioned), thyroid issues, or physical strain/injury in the neck area. It doesn’t diagnose a specific condition but prompts further investigation.
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Related Symptoms:
- Your neck pain, stiffness, and dizziness can be interrelated. Cervical spine issues can contribute to both neck discomfort and sometimes dizzy sensations due to nerve involvement.
Next Steps:
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Prepare for Your MRI:
- Ensure you understand the process and what your doctor hopes to find with the MRI. It can provide insights into any structural issues in your neck that might explain your symptoms.
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Monitor Symptoms:
- Keep track of your neck pain intensity and any changes in dizziness. Note when these symptoms worsen or improve—this can provide useful information for your physician.
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Prioritize CPAP Use:
- Since you have sleep apnea, consistent use of your CPAP can improve your overall health, energy levels, and possibly alleviate some of the dizziness due to better sleep quality.
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Consult with Your Doctor:
- Once you have results from the MRI, discuss them with your physician. Be open about your anxiety and ask for a clear explanation of what the findings mean for your health.
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Stay Active and Hydrated:
- Continue with the dietary changes and physical activity that have helped with your weight loss. Staying active can help manage inflammation and improve joint health. Ensure you stay well-hydrated, as this can support overall wellness.
Reassurance:
While it’s natural to feel anxious about elevated labs and new symptoms, taking these steps can empower you to manage your health proactively. Trust in your healthcare team to guide you through the next steps for clarity and care. If you have specific symptoms that worsen or new concerns arise before your appointment, reach out for further advice. Remember, you are not alone in this—many people navigate similar situations and find a path forward.
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