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Crp not coming down
A few days ago, I was experiencing weakness along with pain in my arms and legs and a feverish feeling. After that, I got my blood tests done, which showed hemoglobin 9.8, WBC 13,000, CRP 17, and Vitamin D 22. After 4–5 days, my symptoms completely disappeared as my doctor prescribed antibiotics along with Vitamin D and iron tablets.
After about 20 days, I got my blood tests repeated again even though I had no symptoms or fever. Today, my hemoglobin is 11.8, WBC is 9,000, and CRP is 26.
I am not able to understand why the CRP has still not come down. I am very worried because I do not have any symptoms, and my LFT report is normal.
Please guide me as to why this is happening.
Answers (15)
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Due to ongoing inflammation and recent infection recovery.
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High crp is a marker of inflammation.
May be present or remote.
NO SPECIFIC TREATMENT FOR CRP. OTHER TEST R IMPROVED. SLOWLY CRP ALSO REDUCE.
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That is normal for CRP to lag behind.
All the best.
www.jgsr-health-education.in
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Your hemoglobin and WBC have improved, which is good.
CRP can stay high for some time even after infection is over.
Sometimes it rises due to:
• Recent infection recovery
• Mild hidden inflammation
• Iron deficiency
• Stress or minor viral illness
Since you have no symptoms now, it is not an emergency.
Repeat CRP after 2–3 weeks.
If CRP keeps increasing or new symptoms appear, further tests may be needed.
Based on your symptoms, this may require proper clinical assessment and prescription. You may book an online consultation with me for detailed evaluation and personalised treatment plan.
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Let’s interpret this logically.
First Report:
• Hemoglobin: 9.8 (low)
• WBC: 13,000 (high → infection)
• CRP: 17 (elevated → inflammation)
• Vitamin D: 22 (insufficient)
After treatment:
• Hemoglobin improved to 11.8 ✅
• WBC normalized to 9,000 ✅
• Symptoms completely resolved ✅
• CRP now 26 (still elevated)
Important point:
CRP is a non-specific inflammatory marker.
It does NOT only rise with infection. It can increase due to:
• Minor viral infections
• Subclinical inflammation
• Stress
• Menstrual phase
• Obesity
• Recent illness recovery
• Even lab variability
Since:
✔ You have no fever
✔ No weakness
✔ No pain
✔ Normal WBC
✔ Normal LFT
This makes a serious ongoing infection very unlikely.
Also note: CRP can fluctuate and sometimes temporarily increase during recovery phase.
Isolated CRP elevation without symptoms is rarely dangerous.
Next Steps
✔ Do NOT panic
✔ Repeat CRP again after 2–3 weeks
✔ Ensure no hidden symptoms (urinary, dental, throat, gut)
✔ Continue iron and Vitamin D
If CRP remains >20 persistently for 6–8 weeks, then further evaluation may include:
• ESR
• Urine routine
• Chest evaluation
• Autoimmune screening (only if clinically indicated)
Right now, with normal WBC and no symptoms, observation is reasonable.
Health Tips
✔ Good hydration
✔ Adequate sleep
✔ Anti-inflammatory diet (fruits, vegetables, omega-3)
✔ Avoid unnecessary repeated testing
✔ Manage stress
CRP should always be interpreted with symptoms — and you currently have none, which is reassuring.
If you can share:
• Exact CRP reference range from your lab
• Your weight
• Whether you recently had periods when test was done
I can assess whether this needs further workup or simple monitoring. Booking an online consultation would allow structured interpretation of trends and prevent unnecessary anxiety or overtesting.
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There is ongoing inflammation in your body. Please consult.
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CRP levels go up fast, drop down slowly. Kindly consult with me on 94 two six eight six 78 nine six.
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Take supplements
Uprise d3 capsule
60k Iu once a week for 12 weeks
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient,
After treatment, your clinical symptoms resolved and:
• WBC normalized (9,000)
• Hemoglobin improved (11.8)
These are positive signs that infection has settled.
CRP is a non-specific inflammatory marker. It can remain elevated or fluctuate due to:
• Recent infection (can take weeks to normalize)
• Minor hidden inflammation (even dental, throat, mild viral)
• Obesity or metabolic stress
• Lab variation
• Iron deficiency recovery phase
• Mild subclinical inflammation
If you are completely asymptomatic and LFT is normal, this isolated CRP rise is usually not dangerous.
Advice:
• Do not repeat CRP too frequently
• Repeat after 3–4 weeks
• Continue iron and Vitamin D as advised
• Maintain hydration and balanced diet
At present, with normal WBC and no symptoms, this does not strongly indicate active serious infection.
For detailed evaluation of full reports and to decide if any further autoimmune or inflammatory workup is required, kindly text me over Practo for complete guidance and management plan.
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
High crp only indicates, that ongoing inflammation is still present or has just finished. Continue meds as prescribed, particularly iron supplements
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