Erythrocyte sedimentation rate (ESR) is a blood test. It measures how quickly erythrocytes, or red blood cells, separate from a blood sample that has been treated so the blood will not clot. During this test, a small amount of your blood will be put in an upright tube. A lab specialist will measure the rate that your red blood cells settle toward the bottom of the tube after 1 hour.
If you have a condition that causes inflammation or cell damage, your red blood cells tend to clump together. This makes them heavier, so they settle faster. The faster your red blood cells settle and fall, the higher your ESR. A high ESR tells your healthcare provider that you may have an active disease process in your body.
Why do I need this test?
You may need this test if you have symptoms of one of the diseases that may cause ESR to go up.
You may also need this test if you have already been diagnosed with a disease that causes a high ESR. The test can allow your healthcare provider to see how well you are responding to treatment.
The ESR blood test is most useful for diagnosing or monitoring diseases that cause pain and swelling from inflammation. Other symptoms may include fever and weight loss. These diseases include:
• Temporal arteritis
• Rheumatoid arthritis
• Polymyalgia rheumatica
ESR is not used as a screening test in people who do not have symptoms or to diagnose disease because many conditions can cause it to increase. It might also go up in many normal cases. ESR doesn't tell your healthcare provider whether you have a specific disease. It only suggests that you may have an active disease process in your body.
What do my test results mean?
Test results may vary depending on your age, gender, health history, and other things. Your test results may be different depending on the lab used. They may not mean you have a problem. Ask your healthcare provider what your test results mean for you.
ESR is measured in millimeters per hour (mm/hr). The normal values are:
• 0 to 15 mm/hr in men
• 0 to 20 mm/hr in women
ESR above 100 mm/h is most likely caused by an active disease. For instance, you may have:
• A disease that causes inflammation in your body
• An active infection
• Cancer
• Heart disease
• Kidney disease
• Blood disease
• Diabetes
• Collagen vascular disease
What might affect my test results?
Many things that are not active diseases can increase your ESR. These include:
• Pregnancy
• Old age
• Being female
• Having a menstrual period
• Having recently eaten a fatty meal
• Being obese
• Taking certain medicines
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