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Ency. home > Test > E > ESR

ESR   

Overview | Risks | Results

Alternative names:

Erythrocyte sedimentation rate; Sed rate; Sedimentation rate

Definition:

A nonspecific screening test for various diseases. The test measures the distance (in millimeters) that red blood cells settle in unclotted blood toward the bottom of a specially marked test tube in 1 hour.

How the Test is Performed

Adult or child:
Blood is drawn from a vein (venipuncture), usually from the inside of the elbow or the back of the hand. The puncture site is cleaned with antiseptic, and a tourniquet (an elastic band) or blood pressure cuff is placed around the upper arm to apply pressure and restrict blood flow through the vein. This causes veins below the tourniquet to distend (fill with blood). A needle is inserted into the vein, and the blood is collected in an air-tight vial or a syringe. During the procedure, the tourniquet is removed to restore circulation. Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding.

Infant or young child:
The area is cleansed with antiseptic and punctured with a sharp needle or a lancet. The blood may be collected in a pipette (small glass tube), on a slide, onto a test strip, or into a small container. Cotton or a bandage may be applied to the puncture site if there is any continued bleeding.

How to Prepare for the Test

There are no food or fluid restrictions.

Infants and children:
The physical and psychological preparation you can provide for this or any test or procedure depends on your child's age, interests, previous experiences, and level of trust. For specific information regarding how you can prepare your child, see the following topics as they correspond to your child's age:

How the Test will Feel

When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.

Why the Test is Performed

The erythrocyte sedimentation rate (ESR) can be used to monitor inflammatory or malignant disease, rheumatic fever, and acute myocardial infarction. Although it is a screening test (not considered diagnostic for any particular disorder), it is useful in detecting and monitoring tuberculosis, tissue necrosis (tissue death), rheumatologic disorders, or an otherwise unsuspected disease in which symptoms are vague or physical findings are minimal.

Ency. home > Test > E > ESR

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