ESR 83 mm/hr means : is it normal, good, bad or dangerous?

In this article we discuss what an ESR of 83 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 83 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?

To measure Erythrocyte Sedimentation Rate (ESR), a healthcare professional collects a small blood sample from the patient's arm, typically from a vein. Before the blood draw, the area is cleaned with an antiseptic solution to minimize the risk of infection. The collected blood is then mixed with an anticoagulant to prevent clotting. Subsequently, the blood is placed in a tall, thin tube and positioned upright to allow the red blood cells to settle over a specified period, often 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 common approach to ESR measurement, involves utilizing a specialized Westergren tube for blood collection. In preparation for the test, patients are typically advised to communicate any medications they are taking to their healthcare provider, as certain drugs can influence the results. Fasting is not mandatory for ESR, but maintaining hydration is recommended to facilitate an efficient blood draw and ensure accurate results. ESR is an essential diagnostic tool, providing healthcare professionals with valuable information to assess and monitor inflammatory conditions within the body.

What is the normal range of ESR and how is an ESR of 83 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 83

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

Normal Range and Grading for Adult Women : ESR 83

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 83

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

What does an ESR of 83 mm/hr mean?

An ESR level of 83 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 83 mm/hr good?

Is an ESR of 83 mm/hr bad?

Is an ESR of 83 mm/hr dangerous?

Is an ESR of 83 mm/hr normal?

What are the causes of an ESR of 83 mm/hr?

An ESR of 83 can have various causing including the following

Anemia

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

Dehydration

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

Thyroid Disorders

Both hyperthyroidism and hypothyroidism can influence ESR levels.

Behçet's Disease

A rare inflammatory disorder causing blood vessel inflammation.

Heart Disease

Inflammatory changes in the cardiovascular system may contribute to an elevated ESR.

Sickle Cell Anemia

A genetic blood disorder affecting red blood cells.

Lymphoma

A type of cancer that originates in the lymphatic system.

Polymyalgia Rheumatica

An inflammatory disorder that commonly affects older adults.

Obesity

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

Systemic Lupus Erythematosus

An autoimmune disease that can affect multiple organs.

Inflammation

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

Rheumatoid Arthritis

A chronic inflammatory disorder affecting the joints.

What are the causes for a falsely elevated ESR value of 83?

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

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.

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.

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.

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.

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.

Menopause

The hormonal changes associated with menopause, including a decline in estrogen levels, can impact the inflammatory response in the body. These changes may contribute to alterations in ESR levels, reflecting the natural physiological transition of menopause.

Smoking

Smoking has been associated with higher ESR levels in some individuals. The chemicals in tobacco smoke can induce inflammation and oxidative stress, contributing to an elevated ESR. Quitting smoking has numerous health benefits, including potential improvements in inflammatory markers.

Emotional Factors

Emotional stress and psychological factors can influence the body's inflammatory response, potentially leading to a temporary increase in ESR. The mind-body connection underscores the importance of mental health for overall well-being.

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.

Sun Exposure

Exposure to sunlight influences vitamin D levels in the body, which in turn can affect the immune system and inflammatory response. Changes in ESR levels related to sun exposure highlight the interconnectedness of environmental factors and inflammation.

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.

Circadian Rhythms

ESR levels can vary throughout the day due to natural circadian rhythms. The body's internal clock influences various physiological processes, including inflammation. Understanding these fluctuations helps in interpreting ESR results accurately.

What does an ESR of 83 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 83 can be classified as below.
If you are in the first three months of pregnancy an ESR of 83 is elevated
If you are in the second trimester or months 3-6 of pregnancy an ESR of 83 is elevated
If you are in the third trimester or months 7-9 of pregnancy an ESR of 83 is elevated

What are the symptoms of an ESR of 83 ?

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 83

Irregular Menstrual Cycles

Changes in menstrual patterns for women.

Frequent Urination

Increased need to urinate.

Chest Pain

Pain or discomfort in the chest area.

Loss of Appetite

Decreased desire to eat.

Fatigue

Persistent tiredness and lack of energy.

Vision Changes

Blurred vision or other visual disturbances.

Digestive Issues

Irregular bowel movements, diarrhea, or constipation.

Abdominal Pain

Discomfort or pain in the abdominal region.

Hair Loss

Unexplained loss of hair.

Swollen Lymph Nodes

Enlarged and tender lymph nodes.

Fever

Elevated body temperature beyond normal range.

Cognitive Impairment

Memory problems or difficulty concentrating.

Skin Rashes

Unexplained skin eruptions or changes.

Cough

Persistent or chronic coughing.

Depression

Persistent feelings of sadness or hopelessness.

Dizziness

Feeling lightheaded or unsteady.

Joint Pain

Discomfort, swelling, or stiffness in the joints.

Photosensitivity

Increased sensitivity to sunlight.

Night Sweats

Excessive sweating during sleep.

Recurrent Infections

Frequent or persistent infections.

Shortness of Breath

Difficulty breathing or breathlessness.

Abnormal Blood Counts

Changes in white blood cell count or other blood parameters.

Muscle Aches

Generalized or localized pain in muscles.

Dry Eyes and Mouth

Symptoms of Sjögren's syndrome.

Headaches

Recurrent or persistent headaches.

Mouth Ulcers

Sores in the mouth that may be painful.

Which foods can reduce an ESR of 83 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.

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.

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.

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.

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.

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.

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.

What other tests should be done with an ESR of 83 mm/hr ?

For an ESR of 83, 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 83

What is my ESR:CRP ratio for an ESR of 83 mm/hr ?

ESR	CRP	Ratio	Means
83	1.0	83.0	More likely to be autoimmune disease flareup of SLE
83	1.5	55.333333333333336	More likely to be autoimmune disease flareup of SLE
83	2.0	41.5	More likely to be autoimmune disease flareup of SLE
83	2.5	33.2	More likely to be autoimmune disease flareup of SLE
83	3.0	27.666666666666668	More likely to be autoimmune disease flareup of SLE
83	3.5	23.714285714285715	More likely to be autoimmune disease flareup of SLE
83	4.0	20.75	More likely to be autoimmune disease flareup of SLE
83	4.5	18.444444444444443	More likely to be autoimmune disease flareup of SLE
83	5.0	16.6	More likely to be autoimmune disease flareup of SLE
83	5.5	15.090909090909092	More likely to be autoimmune disease flareup of SLE
83	6.0	13.833333333333334	Inconclusive
83	6.5	12.76923076923077	Inconclusive
83	7.0	11.857142857142858	Inconclusive
83	7.5	11.066666666666666	Inconclusive
83	8.0	10.375	Inconclusive
83	8.5	9.764705882352942	Inconclusive
83	9.0	9.222222222222221	Inconclusive
83	9.5	8.736842105263158	Inconclusive
83	10.0	8.3	Inconclusive
83	10.5	7.904761904761905	Inconclusive
83	11.0	7.545454545454546	Inconclusive
83	11.5	7.217391304347826	Inconclusive
83	12.0	6.916666666666667	Inconclusive
83	12.5	6.64	Inconclusive
83	13.0	6.384615384615385	Inconclusive
83	13.5	6.148148148148148	Inconclusive
83	14.0	5.928571428571429	Inconclusive
83	14.5	5.724137931034483	Inconclusive
83	15.0	5.533333333333333	Inconclusive
83	15.5	5.354838709677419	Inconclusive
83	16.0	5.1875	Inconclusive
83	16.5	5.03030303030303	Inconclusive
83	17.0	4.882352941176471	Inconclusive
83	17.5	4.742857142857143	Inconclusive
83	18.0	4.611111111111111	Inconclusive
83	18.5	4.486486486486487	Inconclusive
83	19.0	4.368421052631579	Inconclusive
83	19.5	4.256410256410256	Inconclusive
83	20.0	4.15	Inconclusive
83	20.5	4.048780487804878	Inconclusive
83	21.0	3.9523809523809526	Inconclusive
83	21.5	3.86046511627907	Inconclusive
83	22.0	3.772727272727273	Inconclusive
83	22.5	3.688888888888889	Inconclusive
83	23.0	3.608695652173913	Inconclusive
83	23.5	3.5319148936170213	Inconclusive
83	24.0	3.4583333333333335	Inconclusive
83	24.5	3.3877551020408165	Inconclusive
83	25.0	3.32	Inconclusive
83	25.5	3.2549019607843137	Inconclusive
83	26.0	3.1923076923076925	Inconclusive
83	26.5	3.1320754716981134	Inconclusive
83	27.0	3.074074074074074	Inconclusive
83	27.5	3.018181818181818	Inconclusive
83	28.0	2.9642857142857144	Inconclusive
83	28.5	2.912280701754386	Inconclusive
83	29.0	2.8620689655172415	Inconclusive
83	29.5	2.8135593220338984	Inconclusive

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