An erythrocyte sedimentation rate test, also called an ESR or sed rate test, measures the speed at which red blood cells fall to the bottom of an upright glass test tube. This measurement is important because when abnormal proteins are present in the blood, typically due to inflammation or infection, they cause red blood cells to clump together and sink more quickly.
The ESR is useful in detecting inflammation in the body that may be caused by infection, some cancers, and certain autoimmune diseases such as rheumatoid arthritis, lupus, and Kawasaki disease. The ESR alone can't be used to diagnose any one specific disease, however.
No special preparations are needed for this test. Having your child wear a short-sleeve shirt on the day of the test can make things easier for your child and the technician who will be drawing the blood.
A health professional will usually draw the blood from a vein. For an infant, the blood may be obtained by puncturing the heel with a small needle (lancet). If the blood is being drawn from a vein, the skin surface is cleaned with antiseptic, and an elastic band (tourniquet) is placed around the upper arm to apply pressure and cause the veins to swell with blood. A needle is inserted into a vein (usually in the arm inside of the elbow or on the back of the hand) and blood is withdrawn and collected in a vial or syringe.
After the procedure, the elastic band is removed. Once the blood has been collected, the needle is removed and the area is covered with cotton or a bandage to stop the bleeding. Collecting blood for this test will only take a few minutes.
Either method (heel or vein withdrawal) of collecting a sample of blood is only temporarily uncomfortable and can feel like a quick pinprick. Afterward, there may be some mild bruising, which should go away in a few days.
ESR test results are usually available within a few hours or the next day. If results seem to suggest inflammation, the doctor may order further tests to determine the specific cause of the problem.
The ESR test is considered a safe procedure. However, as with many medical tests, some problems can occur with having blood drawn, such as:
Having a blood test is relatively painless. Still, many kids are afraid of needles. Explaining the test in terms your child can understand might help ease some of the fear.
Allow your child to ask the technician any questions he or she might have. Tell your child to try to relax and stay still during the procedure, as tensing muscles and moving can make it harder and more painful to draw blood. It also may help if your child looks away when the needle is being inserted into the skin.
If you have questions about the ESR test, speak with your doctor.
Reviewed by: Steven Dowshen, MD
Date reviewed: February 2011
|American Medical Association (AMA) The AMA has made a commitment to medicine by making doctors more accessible to their patients. Contact the AMA at: American Medical Association|
515 N. State St.
Chicago, IL 60610
|American Academy of Pediatrics (AAP) The AAP is committed to the health and well-being of infants, adolescents, and young adults. The website offers news articles and tips on health for families.|
|Arthritis Foundation The mission of this group is to support research to find the cure for and prevention of arthritis and to improve the quality of life for those affected by arthritis.|
|Lupus Foundation of America The mission of the Lupus Foundation of America is to educate and support those affected by lupus and find a cure. Call (800) 558-0121 for information.|
|Kawasaki Disease Kawasaki disease is most common among children of Japanese and Korean descent, but can affect all ethnic groups. The first symptom is a high fever that lasts for at least 5 days.|
|Blood Test (Video) This video shows what it's like to get a blood test.|
|Living With Lupus Lupus is known as an autoimmune disease in which a person's immune system mistakenly works against the body's own tissues.|
|Getting a Blood Test (Video) A blood test might sound scary, but it usually takes less than a minute. Watch what happens in this video for kids.|
|Juvenile Idiopathic Arthritis Juvenile idiopathic arthritis (also called juvenile rheumatoid arthritis) affects some 50,000 kids in the United States. Learn more.|
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