Hello,My son is 9 years old, three weeks back he has viral fever and the doctor requested for a blood test, WBC count, hemoglobin , etc. were all normal except for ESR level of 60.15 days after this again we again got the ESR test repeated and the count was 40 this time.May i know if this is an alarming situation?What should be next course of action?Regards,Gowri.
Viral fevers are common in child Chat Doctor.  Antibiotics are not useful in viral infections. The condition is not alarming and resolves spontaneously in 5-7 days. Management is supportive. Giving steam inhalation and some anti-allergic like levocetirizine helps. ESR is a non-specific indicator of disease process in the body. You need not worry about it. The WBC count is a more important factor. WBC count remains normal in viral infections. The reducing ESR indicates the body is returning to normal. You may relax. There is nothing to worry. Just give the child proper nutritive diet along with proper playing and exercise. Things would be fine in no time.