Erythrocyte Sedimentation Rate
Other names: ESR
The erythrocyte sedimentation rate test is used to measure inflammation in the body; it involves measuring the sedimentation (fall) of erythrocytes (red blood cells) in a long, thin tube filled with blood. Normally, red blood cells fall slowly, but the speed may be increased by the presence of increased levels of certain proteins, including immunoglobulin and fibrinogen, which are released when inflammation is present.
When is the test used?
The ESR is an effective, inexpensive test which can be used to help diagnose both acute and chronic inflammation and conditions which are associated with inflammation, including cancer, autoimmune diseases and certain types of infection. The ESR test is usually ordered alongside other tests, as it is not generally suitable for diagnosing specific conditions and infections; however, it is useful in diagnosing two specific conditions: polymyalgia rheumatica (a condition which causes stiffness and pain in the shoulders and neck and other parts of the body; it is most common amongst women over the age of 50) and temporal arteritis (inflammation of the arteries in the head).
The test is usually ordered when a doctor suspects that a patient has polymyalgia rheumatica or temporal arteritis; symptoms include headaches, neck and shoulder pain, stiffness, anaemia, unexplained weight loss and pain in the pelvis.
How is the test done?
The test is performed by inserting a needle into a vein in the arm (usually on the inside of the elbow as the veins are more prominent here), drawing out the blood and collecting it in a syringe. Once the sample has been collected, it will be bottled, labelled with the patient’s name and sent away to the laboratory for testing.
What do the test results mean?
If levels of ESR are very high, this usually indicates the presence of an infection. If levels are higher than usual, this usually indicates inflammation; however, high levels may also be associated with anaemia and pregnancy. Old age may also cause ESR results to rise. Further tests will be carried out to help the doctors reach an accurate diagnosis.
Low levels of ESR are not usually considered a problem; however, they may be associated with polycythaemia, which occurs when a patient makes too many red blood cells.
Specific Blood Tests
- Specific Blood Tests
- Factor V Leiden Mutation and PT 20210 Mutation
- Ferritin Test
- Fibrinogen
- Fructosamine
- FSH Test
- G6PD
- Gastrin
- GGT
- Glucose test
- Growth hormone
- Haemoglobin
- Haptoglobin
- HbA1c test
- HDL Cholesterol Test
- Helicobacter Pylori test
- Heparin Anti-Xa
- Hepatitis A Virus
- Hepatitis B Virus
- Hepatitis C Virus
- Her-2/neu Testing
- Heterophil Antibody Titre
- High-Sensitivity C-Reactive Protein
- HIV Antibody Test
- HIV Resistance Testing
- HIV Viral Load
- IGF-1
- Immunoreactive Trypsin
- Insulin
- Iron test
- LDH
- LDL Cholesterol Test
- Lead Test
- LH Test
- Lipase Test
- Lipoprotein (a)
- Lithium
- Lupus Anticoagulant
- Lyme disease test
- Maternal screening
- Mercury, Urine and Blood
- Mycophenolic Acid
- Myoglobin Test
- Oestrogen
- Osmolality
- Overdose Drug Test
- Paracetamol
- Parathyroid Hormone
- Parvovirus B19
- PCV
- Pertussis
- Phenobarbital
- Phenytoin
- Phospate
- Platelet Count
- Porphyrins
- Potassium Test
- Prealbumin Test
- Procalcitonin
- Progesterone Test
- Prolactin
- Prostate-Specific Antigen
- Protein 24 Capsid Antigen
- Protein C and Protein S
- Protein Electrophoresis Immunofixation Electrophoresis
- Prothrombin Time
- PSEN1 Test
- PTH
- Reticulocyte count
- Rheumatoid factor
- Rubella test
- Salicylic Acid
- Serotonin
- Sex Hormone Binding Globulin
- Sickle Cell Test
- Sirolimus
- Smooth Muscle Antibody
- Sodium Test
- Soluble Mesothelin-Related Peptides
- Synacthen Test
- Syphilis Test
- Tacrolimus
- Tau protein
- Testosterone Test
- Theophylline & Caffeine
- Thiopurine s-methyltransferase
- Thyroglobulin (Tg)
- Thyroid peroxidase antibody (TPOAb)
- Thyroid-Stimulating Hormone
- Thyroxine
- TIBC, UIBC & Transferring
- TORCH Test
- Total Protein test
- Triiodothyronine
- Triglycerides Test
- Troponin test
- Urea test
- Uric Acid
- Valproic Acid
- Vancomycin
- Very Low Density Lipoprotein
- Vitamin B12 and Folate
- Vitamin D
- West Nile Virus
- White blood cell differential count
- Zinc Protoporphyrin
- Activated Clotting Time
- ACTH
- Albumin
- Aldosterone and Renin
- Alkaline Phosphatase Test
- Allergen-Specific IgE Antibody Test
- Alpha-1 Antitrypsin
- Alpha-Fetoprotein
- ALT
- AMA
- Ammonia
- Amylase Test
- Angiotensin Converting Enzyme
- Antinuclear Antibody
- Antithrombin
- Apolipoprotein A-I
- Apolipoprotein E Genotyping
- aPTT
- AST
- Bicarbonate
- Bilirubin
- Blood cultures
- Blood film
- Blood Gas Tests
- Blood Ketones
- Brain Natriuretic Peptide
- BRCA-1 & BRCA-2
- CA 125
- Cancer Antigen 15-3
- Cancer Antigen 19-9
- C-peptide
- Caeruloplasmin
- Calcitonin
- Calcium Test
- Carbamazepine
- Cardiac Risk Assessment
- Cardiolipin Antobodies
- Catecholamines, Plasma and Urine
- CCP
- CD4 and CD8
- CEA Test
- CF Gene Mutation Testing
- Chickenpox and Shingles Tests
- Chloride Test
- Cholesterol Test
- Chlorinesterase Test
- Chromogranin A
- Ciclosporin
- CMV
- Coagulation Factors
- Coeliac Disease Tests
- Copper
- Cortisol Test
- Creatine Kinase CK-MB Test
- Creatine Kinase Test
- Creatinine
- Creatinine Clearance
- C-Reactive Protein
- Cystatin C
- D-Dimer
- DHEAS
- Digoxin
- Direct LDL cholesterol
- eGFR - Calc. Creatinine Clearance
- Electrolytes
- Epstein-Barr Virus Antibodies
- Erythrocyte Sedimentation Rate
- Erythropoietin
- Ethanol
Blood Test Guide
- Blood Tests
- Types of blood tests
- what to expect
- What are the risks of blood tests?
- What do blood tests show?
- Specific Blood Tests