What causes ESR fluctuation after treated TB?
Patient: hi i am vani rao 26 year old lady, got married on two year ago, but last year on sep 2010 i got TB, and from sep 2010 i have been AKT-4 as per doctor prescription, at apollo new delhi,  now i got my blood test done yesterday 21 june 2011, but ESR is now increasing 23 mm/hr (0-20normal range), what would be cause, still i am taking medicine. AKT-4 Doctor: HelloThanks for posting here. Tuberculosis usually causes an increase in ESR, so i suppose you had high ESR when you were diagnosed. Noe since you are on AKT 4 for more than 6 months, your ESR is coming down. an ESR of 23 is considered as normal. Please do not worry about that value. A value above 50 would be concerning. More important thing here is since you have completed 6 months on AKT-4, we have to evaluate whether you are cured from TB. I would recommend a sputum gene Xpert test, chest x ray and AFB smear. wishing you good health. regards.