ESR normal range: what a high or normal ESR means

ESR stands for erythrocyte sedimentation rate. It measures how fast red blood cells settle to the bottom of a thin tube in one hour. When there is inflammation in the body, certain proteins make red cells clump and fall faster, so the ESR goes up. Doctors often order ESR for long-lasting fever, joint pain, body ache or unexplained weight loss. ESR is a general marker: it tells that something may be going on, but not what or where. That is why it is always read along with symptoms and other tests.

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ESR – Normal range chart

Level	Value (mm/hr)
Men (under 50)	0 – 15 mm/hr
Women (under 50)	0 – 20 mm/hr
Men (over 50)ESR rises a little with age	0 – 20 mm/hr
Women (over 50)	0 – 30 mm/hr
ChildrenAbout; varies by lab	0 – 10 mm/hr

Ranges differ a little from lab to lab.

What does my result mean?

ESR 30

Mildly raised for most adults, though it can be normal for an older woman. It can be seen with infection, anaemia or pregnancy; your doctor will judge it with your symptoms.

ESR 50

Clearly above normal. It usually means there is some inflammation or infection, and your doctor may advise more tests to find the reason.

ESR 100

A very high ESR. It needs a prompt check by a doctor, who will usually order further tests.

What this test checks

The result is given in millimetres per hour (mm/hr). It is commonly checked along with CBC and CRP for fever, joint pain and suspected inflammation. Doctors also use repeat ESR tests to see how a known condition, such as arthritis or tuberculosis, is responding over time. There is no fixed schedule for healthy people; your doctor will decide how often you need it.

Common reasons for a high value

Infections, including tuberculosis
Joint inflammation such as rheumatoid arthritis
Anaemia (low haemoglobin)
Pregnancy and older age
Kidney disease
Some autoimmune conditions

How to prepare

No fasting is needed. You can eat and drink normally before the sample.

When to see a doctor

See a doctor if your ESR is high along with fever lasting more than a week, joint swelling, night sweats or weight loss. In people over 50, a new severe headache with jaw pain or blurred vision needs urgent medical care.

ESR – FAQs

What is the normal ESR for women?

For women under 50, ESR up to about 20 mm/hr is usually normal, and up to about 30 mm/hr after 50. The range printed on your report is the one that applies to you.

Can ESR be high without any disease?

Yes. ESR can be mildly high with older age, pregnancy, periods or anaemia. A single mildly high value is often rechecked. Your doctor will decide if more tests are needed.

What is the difference between ESR and CRP?

Both show inflammation. CRP rises and falls quickly, within a day or two, while ESR changes slowly over days to weeks. Doctors often check both together.

Does ESR need fasting?

No. ESR does not need fasting. The sample can be given at any time of the day, and it can be collected at your home.

This page is general information, not medical advice. The normal range printed on your own report is the one that applies, and only a doctor can tell what your result means for you.

Packages with this test

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AAROGYAM XL

149 tests included · Report in 24–48 hours

ARTHRITIS (2)
CARDIAC RISK MARKERS (7)
COMPLETE HEMOGRAM (28)
DIABETES (7)
+ 14 more

₹9,999

ARTHRITIS 2ANTI CCP (ACCP)ANTI NUCLEAR ANTIBODIES (ANA)
CARDIAC RISK MARKERS 7APO B / APO A1 RATIO (APO B/A1)APOLIPOPROTEIN - A1 (APO-A1)APOLIPOPROTEIN - B (APO-B)HOMOCYSTEINEHIGH SENSITIVITY C-REACTIVE PROTEIN (HS-CRP)Lipoprotein (a) [Lp(a)]LP-PLA2
COMPLETE HEMOGRAM 28BASOPHILS - ABSOLUTE COUNTEOSINOPHILS - ABSOLUTE COUNTLYMPHOCYTES - ABSOLUTE COUNTMONOCYTES - ABSOLUTE COUNTNEUTROPHILS - ABSOLUTE COUNTBASOPHILSEOSINOPHILSHEMOGLOBINIMMATURE GRANULOCYTES(IG)IMMATURE GRANULOCYTE PERCENTAGE(IG%)TOTAL LEUCOCYTES COUNT (WBC)LYMPHOCYTEMEAN CORPUSCULAR HEMOGLOBIN(MCH)MEAN CORP.HEMO.CONC(MCHC)MEAN CORPUSCULAR VOLUME(MCV)MONOCYTESMEAN PLATELET VOLUME(MPV)NEUTROPHILSNUCLEATED RED BLOOD CELLSNUCLEATED RED BLOOD CELLS %PLATELETCRIT(PCT)HEMATOCRIT(PCV)PLATELET DISTRIBUTION WIDTH(PDW)PLATELET TO LARGE CELL RATIO(PLCR)PLATELET COUNTTOTAL RBCRED CELL DISTRIBUTION WIDTH (RDW-CV)RED CELL DISTRIBUTION WIDTH - SD(RDW-SD)
DIABETES 7AVERAGE BLOOD GLUCOSE (ABG)BLOOD KETONE (D3HB)FASTING BLOOD SUGAR(GLUCOSE)FRUCTOSAMINEHbA1cINSULIN - FASTINGURINARY MICROALBUMIN
ELECTROLYTES 2CHLORIDESODIUM
ELEMENTS 2SERUM COPPERSERUM ZINC
HEMATOLOGY 1TROPONIN I HEART ATTACK RISK
IRON DEFICIENCY 5% TRANSFERRIN SATURATIONFERRITINIRONTOTAL IRON BINDING CAPACITY (TIBC)UNSAT.IRON-BINDING CAPACITY(UIBC)
LIPID 10TOTAL CHOLESTEROLHDL CHOLESTEROL - DIRECTHDL / LDL RATIOLDL CHOLESTEROL - DIRECTLDL / HDL RATIONON-HDL CHOLESTEROLTC/ HDL CHOLESTEROL RATIOTRIG / HDL RATIOTRIGLYCERIDESVLDL CHOLESTEROL
LIVER 13SERUM ALB/GLOBULIN RATIOALPHA-1-ANTITRYPSIN (AAT)ALKALINE PHOSPHATASEBILIRUBIN -DIRECTBILIRUBIN (INDIRECT)BILIRUBIN - TOTALGAMMA GLUTAMYL TRANSFERASE (GGT)SGOT / SGPT RATIOPROTEIN - TOTALALBUMIN - SERUMSERUM GLOBULINASPARTATE AMINOTRANSFERASE (SGOT )ALANINE TRANSAMINASE (SGPT)
METABOLIC 1MAGNESIUM
PANCREATIC 2AMYLASELIPASE
RENAL 10BUN / Sr.CREATININE RATIOBLOOD UREA NITROGEN (BUN)CALCIUMCYSTATIN CCREATININE - SERUMURI. ALBUMIN/CREATININE RATIO (UA/C)CREATININE - URINEUREA / SR.CREATININE RATIOUREA (CALCULATED)URIC ACID
STEROID 10ANDROSTENEDIONE17-HYDROXYPROGESTERONECORTISOLCORTICOSTERONEDEOXYCORTISOLDEHYDROEPIANDROSTERONEDHEA - SULPHATE (DHEAS)ESTRADIOLPROGESTERONETESTOSTERONE
THYROID 3TOTAL TRIIODOTHYRONINE (T3)TOTAL THYROXINE (T4)TSH - ULTRASENSITIVE
TOXIC ELEMENTS 22SILVERALUMINIUMARSENICBARIUMBERYLLIUMBISMUTHCADMIUMCOBALTCHROMIUMCAESIUMMERCURYMANGANESEMOLYBDENUMNICKELLEADANTIMONYSELENIUMTINSTRONTIUMTHALLIUMURANIUMVANADIUM
URINOGRAM 10SPECIFIC GRAVITYURINARY BILIRUBINURINE BLOODUROBILINOGENURINARY GLUCOSEURINE KETONEURINARY LEUCOCYTES (PUS CELLS)NITRITEPHURINARY PROTEIN
VITAMIN 14VITAMIN D TOTALVITAMIN D2VITAMIN D3VITAMIN AVITAMIN B-12VITAMIN B1/THIAMINVITAMIN B2/RIBOFLAVINVITAMIN B3/NICOTINIC ACIDVITAMIN B5/PANTOTHENICVITAMIN B6/PYRIDOXAL - 5 - PHOSPHATEVITAMIN B7/BIOTINVITAMIN B9/FOLIC ACIDVITAMIN EVITAMIN K

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AAROGYAM X

139 tests included · Report in 24–48 hours

ARTHRITIS (2)
CARDIAC RISK MARKERS (7)
COMPLETE HEMOGRAM (28)
DIABETES (7)
+ 13 more

₹8,499

ARTHRITIS 2ANTI CCP (ACCP)ANTI NUCLEAR ANTIBODIES (ANA)
CARDIAC RISK MARKERS 7APO B / APO A1 RATIO (APO B/A1)APOLIPOPROTEIN - A1 (APO-A1)APOLIPOPROTEIN - B (APO-B)HOMOCYSTEINEHIGH SENSITIVITY C-REACTIVE PROTEIN (HS-CRP)Lipoprotein (a) [Lp(a)]LP-PLA2
COMPLETE HEMOGRAM 28BASOPHILS - ABSOLUTE COUNTEOSINOPHILS - ABSOLUTE COUNTLYMPHOCYTES - ABSOLUTE COUNTMONOCYTES - ABSOLUTE COUNTNEUTROPHILS - ABSOLUTE COUNTBASOPHILSEOSINOPHILSHEMOGLOBINIMMATURE GRANULOCYTES(IG)IMMATURE GRANULOCYTE PERCENTAGE(IG%)TOTAL LEUCOCYTES COUNT (WBC)LYMPHOCYTEMEAN CORPUSCULAR HEMOGLOBIN(MCH)MEAN CORP.HEMO.CONC(MCHC)MEAN CORPUSCULAR VOLUME(MCV)MONOCYTESMEAN PLATELET VOLUME(MPV)NEUTROPHILSNUCLEATED RED BLOOD CELLSNUCLEATED RED BLOOD CELLS %PLATELETCRIT(PCT)HEMATOCRIT(PCV)PLATELET DISTRIBUTION WIDTH(PDW)PLATELET TO LARGE CELL RATIO(PLCR)PLATELET COUNTTOTAL RBCRED CELL DISTRIBUTION WIDTH (RDW-CV)RED CELL DISTRIBUTION WIDTH - SD(RDW-SD)
DIABETES 7AVERAGE BLOOD GLUCOSE (ABG)BLOOD KETONE (D3HB)FASTING BLOOD SUGAR(GLUCOSE)FRUCTOSAMINEHbA1cINSULIN - FASTINGURINARY MICROALBUMIN
ELECTROLYTES 2CHLORIDESODIUM
ELEMENTS 2SERUM COPPERSERUM ZINC
HORMONE 1TESTOSTERONE
IRON DEFICIENCY 5% TRANSFERRIN SATURATIONFERRITINIRONTOTAL IRON BINDING CAPACITY (TIBC)UNSAT.IRON-BINDING CAPACITY(UIBC)
LIPID 10TOTAL CHOLESTEROLHDL CHOLESTEROL - DIRECTHDL / LDL RATIOLDL CHOLESTEROL - DIRECTLDL / HDL RATIONON-HDL CHOLESTEROLTC/ HDL CHOLESTEROL RATIOTRIG / HDL RATIOTRIGLYCERIDESVLDL CHOLESTEROL
LIVER 13SERUM ALB/GLOBULIN RATIOALPHA-1-ANTITRYPSIN (AAT)ALKALINE PHOSPHATASEBILIRUBIN -DIRECTBILIRUBIN (INDIRECT)BILIRUBIN - TOTALGAMMA GLUTAMYL TRANSFERASE (GGT)SGOT / SGPT RATIOPROTEIN - TOTALALBUMIN - SERUMSERUM GLOBULINASPARTATE AMINOTRANSFERASE (SGOT )ALANINE TRANSAMINASE (SGPT)
METABOLIC 1MAGNESIUM
PANCREATIC 2AMYLASELIPASE
RENAL 10BUN / Sr.CREATININE RATIOBLOOD UREA NITROGEN (BUN)CALCIUMCYSTATIN CCREATININE - SERUMURI. ALBUMIN/CREATININE RATIO (UA/C)CREATININE - URINEUREA / SR.CREATININE RATIOUREA (CALCULATED)URIC ACID
THYROID 3TOTAL TRIIODOTHYRONINE (T3)TOTAL THYROXINE (T4)TSH - ULTRASENSITIVE
TOXIC ELEMENTS 22SILVERALUMINIUMARSENICBARIUMBERYLLIUMBISMUTHCADMIUMCOBALTCHROMIUMCAESIUMMERCURYMANGANESEMOLYBDENUMNICKELLEADANTIMONYSELENIUMTINSTRONTIUMTHALLIUMURANIUMVANADIUM
URINOGRAM 10SPECIFIC GRAVITYURINARY BILIRUBINURINE BLOODUROBILINOGENURINARY GLUCOSEURINE KETONEURINARY LEUCOCYTES (PUS CELLS)NITRITEPHURINARY PROTEIN
VITAMINS 14VITAMIN D TOTALVITAMIN D2VITAMIN D3VITAMIN AVITAMIN B-12VITAMIN B1/THIAMINVITAMIN B2/RIBOFLAVINVITAMIN B3/NICOTINIC ACIDVITAMIN B5/PANTOTHENICVITAMIN B6/PYRIDOXAL - 5 - PHOSPHATEVITAMIN B7/BIOTINVITAMIN B9/FOLIC ACIDVITAMIN EVITAMIN K

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AAROGYAM 1.8

121 tests included · Report in 24–48 hours

CARDIAC RISK MARKERS (7)
COMPLETE HEMOGRAM (28)
DIABETES (5)
ELECTROLYTES (2)
+ 10 more

₹6,999

CARDIAC RISK MARKERS 7APO B / APO A1 RATIO (APO B/A1)APOLIPOPROTEIN - A1 (APO-A1)APOLIPOPROTEIN - B (APO-B)HOMOCYSTEINEHIGH SENSITIVITY C-REACTIVE PROTEIN (HS-CRP)Lipoprotein (a) [Lp(a)]LP-PLA2
COMPLETE HEMOGRAM 28BASOPHILS - ABSOLUTE COUNTEOSINOPHILS - ABSOLUTE COUNTLYMPHOCYTES - ABSOLUTE COUNTMONOCYTES - ABSOLUTE COUNTNEUTROPHILS - ABSOLUTE COUNTBASOPHILSEOSINOPHILSHEMOGLOBINIMMATURE GRANULOCYTES(IG)IMMATURE GRANULOCYTE PERCENTAGE(IG%)TOTAL LEUCOCYTES COUNT (WBC)LYMPHOCYTEMEAN CORPUSCULAR HEMOGLOBIN(MCH)MEAN CORP.HEMO.CONC(MCHC)MEAN CORPUSCULAR VOLUME(MCV)MONOCYTESMEAN PLATELET VOLUME(MPV)NEUTROPHILSNUCLEATED RED BLOOD CELLSNUCLEATED RED BLOOD CELLS %PLATELETCRIT(PCT)HEMATOCRIT(PCV)PLATELET DISTRIBUTION WIDTH(PDW)PLATELET TO LARGE CELL RATIO(PLCR)PLATELET COUNTTOTAL RBCRED CELL DISTRIBUTION WIDTH (RDW-CV)RED CELL DISTRIBUTION WIDTH - SD(RDW-SD)
DIABETES 5AVERAGE BLOOD GLUCOSE (ABG)BLOOD KETONE (D3HB)FRUCTOSAMINEHbA1cINSULIN - FASTING
ELECTROLYTES 2CHLORIDESODIUM
ELEMENTS 2SERUM COPPERSERUM ZINC
HORMONE 1TESTOSTERONE
IRON DEFICIENCY 4% TRANSFERRIN SATURATIONIRONTOTAL IRON BINDING CAPACITY (TIBC)UNSAT.IRON-BINDING CAPACITY(UIBC)
LIPID 10TOTAL CHOLESTEROLHDL CHOLESTEROL - DIRECTHDL / LDL RATIOLDL CHOLESTEROL - DIRECTLDL / HDL RATIONON-HDL CHOLESTEROLTC/ HDL CHOLESTEROL RATIOTRIG / HDL RATIOTRIGLYCERIDESVLDL CHOLESTEROL
LIVER 13SERUM ALB/GLOBULIN RATIOALPHA-1-ANTITRYPSIN (AAT)ALKALINE PHOSPHATASEBILIRUBIN -DIRECTBILIRUBIN (INDIRECT)BILIRUBIN - TOTALGAMMA GLUTAMYL TRANSFERASE (GGT)SGOT / SGPT RATIOPROTEIN - TOTALALBUMIN - SERUMSERUM GLOBULINASPARTATE AMINOTRANSFERASE (SGOT )ALANINE TRANSAMINASE (SGPT)
PANCREATIC 2AMYLASELIPASE
RENAL 8BUN / Sr.CREATININE RATIOBLOOD UREA NITROGEN (BUN)CALCIUMCYSTATIN CCREATININE - SERUMUREA / SR.CREATININE RATIOUREA (CALCULATED)URIC ACID
THYROID 3TOTAL TRIIODOTHYRONINE (T3)TOTAL THYROXINE (T4)TSH - ULTRASENSITIVE
TOXIC ELEMENTS 22SILVERALUMINIUMARSENICBARIUMBERYLLIUMBISMUTHCADMIUMCOBALTCHROMIUMCAESIUMMERCURYMANGANESEMOLYBDENUMNICKELLEADANTIMONYSELENIUMTINSTRONTIUMTHALLIUMURANIUMVANADIUM
VITAMINS 14VITAMIN D TOTALVITAMIN D2VITAMIN D3VITAMIN AVITAMIN B-12VITAMIN B1/THIAMINVITAMIN B2/RIBOFLAVINVITAMIN B3/NICOTINIC ACIDVITAMIN B5/PANTOTHENICVITAMIN B6/PYRIDOXAL - 5 - PHOSPHATEVITAMIN B7/BIOTINVITAMIN B9/FOLIC ACIDVITAMIN EVITAMIN K

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AAROGYAM 1.7

113 tests included · Report in 24–48 hours

ARTHRITIS (2)
CARDIAC RISK MARKERS (7)
COMPLETE HEMOGRAM (28)
DIABETES (5)
+ 11 more

₹6,415

ARTHRITIS 2ANTI CCP (ACCP)ANTI NUCLEAR ANTIBODIES (ANA)
CARDIAC RISK MARKERS 7APO B / APO A1 RATIO (APO B/A1)APOLIPOPROTEIN - A1 (APO-A1)APOLIPOPROTEIN - B (APO-B)HOMOCYSTEINEHIGH SENSITIVITY C-REACTIVE PROTEIN (HS-CRP)Lipoprotein (a) [Lp(a)]LP-PLA2
COMPLETE HEMOGRAM 28BASOPHILS - ABSOLUTE COUNTEOSINOPHILS - ABSOLUTE COUNTLYMPHOCYTES - ABSOLUTE COUNTMONOCYTES - ABSOLUTE COUNTNEUTROPHILS - ABSOLUTE COUNTBASOPHILSEOSINOPHILSHEMOGLOBINIMMATURE GRANULOCYTES(IG)IMMATURE GRANULOCYTE PERCENTAGE(IG%)TOTAL LEUCOCYTES COUNT (WBC)LYMPHOCYTEMEAN CORPUSCULAR HEMOGLOBIN(MCH)MEAN CORP.HEMO.CONC(MCHC)MEAN CORPUSCULAR VOLUME(MCV)MONOCYTESMEAN PLATELET VOLUME(MPV)NEUTROPHILSNUCLEATED RED BLOOD CELLSNUCLEATED RED BLOOD CELLS %PLATELETCRIT(PCT)HEMATOCRIT(PCV)PLATELET DISTRIBUTION WIDTH(PDW)PLATELET TO LARGE CELL RATIO(PLCR)PLATELET COUNTTOTAL RBCRED CELL DISTRIBUTION WIDTH (RDW-CV)RED CELL DISTRIBUTION WIDTH - SD(RDW-SD)
DIABETES 5AVERAGE BLOOD GLUCOSE (ABG)BLOOD KETONE (D3HB)FRUCTOSAMINEHbA1cINSULIN - FASTING
ELECTROLYTES 2CHLORIDESODIUM
ELEMENTS 2SERUM COPPERSERUM ZINC
HORMONE 1TESTOSTERONE
IRON DEFICIENCY 5% TRANSFERRIN SATURATIONFERRITINIRONTOTAL IRON BINDING CAPACITY (TIBC)UNSAT.IRON-BINDING CAPACITY(UIBC)
LIPID 10TOTAL CHOLESTEROLHDL CHOLESTEROL - DIRECTHDL / LDL RATIOLDL CHOLESTEROL - DIRECTLDL / HDL RATIONON-HDL CHOLESTEROLTC/ HDL CHOLESTEROL RATIOTRIG / HDL RATIOTRIGLYCERIDESVLDL CHOLESTEROL
LIVER 13SERUM ALB/GLOBULIN RATIOALPHA-1-ANTITRYPSIN (AAT)ALKALINE PHOSPHATASEBILIRUBIN -DIRECTBILIRUBIN (INDIRECT)BILIRUBIN - TOTALGAMMA GLUTAMYL TRANSFERASE (GGT)SGOT / SGPT RATIOPROTEIN - TOTALALBUMIN - SERUMSERUM GLOBULINASPARTATE AMINOTRANSFERASE (SGOT )ALANINE TRANSAMINASE (SGPT)
PANCREATIC 2AMYLASELIPASE
RENAL 8BUN / Sr.CREATININE RATIOBLOOD UREA NITROGEN (BUN)CALCIUMCYSTATIN CCREATININE - SERUMUREA / SR.CREATININE RATIOUREA (CALCULATED)URIC ACID
THYROID 3TOTAL TRIIODOTHYRONINE (T3)TOTAL THYROXINE (T4)TSH - ULTRASENSITIVE
TOXIC ELEMENTS 22SILVERALUMINIUMARSENICBARIUMBERYLLIUMBISMUTHCADMIUMCOBALTCHROMIUMCAESIUMMERCURYMANGANESEMOLYBDENUMNICKELLEADANTIMONYSELENIUMTINSTRONTIUMTHALLIUMURANIUMVANADIUM
VITAMINS 3FOLATEVITAMIN B-1225-OH VITAMIN D (TOTAL)

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ESR normal range: what a high or normal ESR means

ESR – Normal range chart

What does my result mean?

What this test checks

Common reasons for a high value

How to prepare

When to see a doctor

ESR – FAQs

Packages with this test

AAROGYAM XL

AAROGYAM X

AAROGYAM 1.8

AAROGYAM 1.7

Not sure which test you need?