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Complete Hemogram (CBC & ESR)

Complete Hemogram (CBC & ESR) near me in Kolkata

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The Complete Hemogram (CBC & ESR) test includes a series of blood tests that provide information about the blood components, including red blood cells (RBCs), white blood cells (WBCs), and platelets. It is available at an affordable price in Kolkata with Tata 1mg labs. This test can be performed routinely to provide an overview of your general health status. 

Your doctor may suggest the complete hemogram test to identify several disorders, including infections, anemia, diseases related to the immune system, and blood cancers. It may also be used to monitor an existing blood disorder or track the treatment responses known to affect the blood cells, like chemotherapy or radiotherapy. Additionally, the erythrocyte sedimentation rate (ESR) test in this series of tests helps evaluate the degree of inflammation in the body. Usually, overnight fasting (8-12 hours) is preferred for this test; however, it is not mandatory

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Understanding Complete Hemogram (CBC & ESR)

The blood consists of red blood cells (RBCs), white blood cells (WBCs), and platelets that perform important bodily functions. RBCs are the most abundant cells in the blood that consist of a protein called hemoglobin. This protein helps transport oxygen throughout the body. WBCs are the components of the immune system and help protect the body against infections and cancers. Platelets are responsible for blood clotting and controlling bleeding. Therefore, determining the levels of these cells can provide significant health information.

Your doctor may advise the Complete Hemogram (CBC & ESR) test if you show symptoms like weakness, fever, fatigue, unexplained weight loss, joint stiffness, shoulder pain, or bruising. This test may also help screen, detect, and monitor medical conditions like infections, nutritional deficiencies, anemia, bleeding disorders, and blood cancers. Furthermore, It also allows the doctor to monitor existing blood disorders and ongoing treatments of conditions that affect your blood cells, like inflammatory diseases and chemotherapy. Usually, overnight fasting (8-12 hours) is preferred for this test; however, it is not mandatory. 

Test result ranges are approximate and may differ slightly between labs depending on the methodology and laboratory guidelines. Talk to your doctor about your specific test results. Narrate your complete medical history to help the doctor correlate your clinical and laboratory findings. The test results will help them determine your medical condition, make recommendations for lifestyle modifications such as diet and exercise, decide whether or not medication will be required to manage your condition and formulate your overall treatment plan. 

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What does Complete Hemogram (CBC & ESR) measure?

Contains 22 tests

A Complete Hemogram (CBC & ESR) test combines a complete blood count (CBC) test and an erythrocyte sedimentation rate (ESR) test. The CBC test evaluates all of your blood cells (red, white, and platelets) that reflect your general health. The ESR test, on the other hand, determines the presence of any inflammation or infection in your body.

The ESR (Erythrocyte Sedimentation Rate) test measures how fast red blood cells (erythrocytes) settle in a tube over one hour.

When your body is inflamed, certain proteins, mainly fibrinogen, increase in the blood. These proteins cause the red blood cells to stick together in stacks. These stacks settle faster, leading to a higher ESR.

The ESR test shows that inflammation is present. However, it cannot tell you exactly where the inflammation is or what is causing it. That’s why doctors usually do this test along with other tests. This helps them understand and treat your health problems.

What Do the Results Mean?

Pathological Factors 

Test Parameter

Interpretation (possible causes)

Normal Level

  • No inflammation

Low Level

  • Polycythemia vera

  • Sickle cell anemia

  • CHF (congestive heart failure)

  • Typhoid and undulant fever, malarial paroxysm, trichinosis, pertussis, infectious

  • Mononucleosis, and uncomplicated viral diseases

  • Peptic ulcer

  • Acute allergy

High Level

  • Infections 

  • Vasculitis, including temporal arteritis

  • Inflammatory arthritis

  • Renal disease

  • Tuberculosis

  • Anemia

  • Malignancies and plasma cell dyscrasias

  • Tissue injury, including myocardial infarction

Physiological Factors

🧓 Age: ESR usually rises as people get older because of changes in blood proteins and red blood cells.

🚺 Gender: Women often have slightly higher ESR than men due to hormones and lower red blood cell levels.

🩸 Pregnancy and Menstruation: Both conditions can temporarily elevate ESR . THis can be due to hormonal fluctuations, increased plasma volume, and changes in fibrinogen concentration.

💊 Medications: Medicines such as dextran, methyldopa, oral contraceptives, penicillamine, procainamide, etc., can increase ESR, while aspirin, steroids, and quinine may decrease it.

Lifestyle Factors

🥗 Nutrition: Poor diet may influence plasma composition and affect ESR levels.

🚬 Smoking: Chronic smoking can increase oxidative stress and mildly raise ESR levels.

🏃 Physical Activity: Prolonged inactivity or chronic fatigue can influence inflammatory markers.

😴 Sleep and Stress: High stress or poor sleep may impact immune response and inflammation, indirectly affecting ESR.

Disclaimer: This information is for educational purposes only and should not replace professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance.

What Do Normal ESR Levels Mean?

Normal ESR levels suggest that there is no significant inflammation in the body. It means your immune system is stable and there are no ongoing infections or major inflammatory conditions.

What Do High Levels of ESR Indicate?

High ESR levels usually suggest inflammation or tissue damage in the body. They can be seen in conditions like :

  • Infections
  • Inflammatory arthritis
  • Vasculitis (such as temporal arteritis)
  • Anemia
  • Kidney disease
  • Tuberculosis
  • Certain cancers, and plasma cell disorders
  • After tissue injury (like a heart attack) 
  • During allergic and autoimmune reactions

What to Do if Your ESR Is Higher Than Normal?

If your ESR level is higher than normal, your doctor may recommend further tests to find the underlying cause. Treatment focuses on managing the condition causing the inflammation. Lifestyle measures like a balanced diet, proper rest, and following prescribed medications can help reduce inflammation over time.

What Do Low Levels of ESR Indicate?

Low ESR levels are less common but may occur in conditions that reduce red blood cell sedimentation. These include:

  • Polycythemia vera
  • Sickle cell anemia
  • Congestive heart failure (CHF)
  • Certain infections like typhoid, malaria, or viral illnesses
  • In cases of peptic ulcer disease or acute allergic reactions

Can ESR Results Be Inaccurate?

Yes. ESR results can be affected by factors like pregnancy, anemia, infections, or certain medications. Errors in sample handling or delayed testing may also impact accuracy. Hence, results should be interpreted along with symptoms and additional test results.

What Factors Can Affect ESR (Erythrocyte Sedimentation Rate) Results?

Though a reliable test, several factors can influence accuracy:

Falsely Increased ESR:

  • High fibrinogen, gamma, or beta globulins
  • Age, female gender, pregnancy, or menstruation
  • Infections, autoimmune disorders, or anemia
  • Medications such as dextran, methyldopa, penicillamine, theophylline, vitamin A, and oral contraceptives
  • Hypercholesterolemia
  • High lab temperature

Falsely Decreased ESR:

  • Abnormally shaped RBCs (sickle cells, spherocytes, acanthocytes)
  • Microcytosis, HbC disease, or hypofibrinogenemia
  • Extreme leukocytosis
  • Low lab temperature or clotted blood

What Follow-Up Tests May Be Required?

If your ESR levels are high or low, your doctor may suggest additional tests to find the underlying cause. These may include: 

Table: Tests Commonly Ordered Alongside ESR Test

Test Name

Primary Purpose

CRP (C-Reactive Protein)

Detects active inflammation

CBC (Complete Blood Count)

Evaluates infection or anemia

ANA (Antinuclear Antibody)

Screens for autoimmune diseases

Rheumatoid Factor (RF)

Assesses for rheumatoid arthritis

How Does ESR Differ from Other Inflammatory Tests?

It is important to understand how the ESR (Erythrocyte Sedimentation Rate) test differs from other common inflammatory tests:

  • C-Reactive Protein (CRP): Detects acute inflammation and rises more quickly than ESR. It is useful for identifying infections and monitoring treatment response.
  • High-Sensitivity CRP (hs-CRP): Measures low-grade inflammation and helps assess cardiovascular disease risk.
  • Antinuclear Antibody (ANA): Screens for autoimmune diseases by detecting specific antibodies in the blood.
  • Rheumatoid Factor (RF): Helps diagnose rheumatoid arthritis and other autoimmune disorders.

Know more about ESR (Erythrocyte Sedimentation Rate)

The CBC (Complete Blood Count) test measures the number of red blood cells (RBCs), white blood cells (WBCs), and platelets. Each of these blood cells performs essential functions–RBCs carry oxygen from your lungs to the various body parts, WBCs help fight infections and other diseases, and platelets help your blood to clot. Therefore, determining their levels can provide significant health information. A CBC test also determines the hemoglobin level, a protein in RBC that carries oxygen from the lungs to the rest of your body. Evaluating all these components together can provide important information about your overall health.

Know more about CBC (Complete Blood Count)

  • Differential Leukocyte Count

  • There are five types of WBCs: neutrophils, lymphocytes, monocytes, eosinophils, and basophils. A Differential Leukocyte Count test measures the percentage of each type of WBC in the blood. Leukocytes or WBCs are produced in the bone marrow and defend the body against infections and diseases. Each type of WBC plays a unique role to protect against infections and is present in different numbers.

    This further contains

    • Differential Neutrophil Count
    • Differential Lymphocyte Count
    • Differential Monocyte Count
    • Differential Eosinophil Count
    • Differential Basophil Count
  • Red Blood Cell Count

  • The Red Blood Cell Count test measures the total number of red blood cells in your blood. RBCs are the most abundant cells in the blood with an average lifespan of 120 days. These cells are produced in the bone marrow and destroyed in the spleen or liver. Their primary function is to help carry oxygen from the lungs to different body parts. The normal range of RBC count can vary depending on age, gender, and the equipment and methods used for testing.

  • Hb (Hemoglobin)

  • The Hb (Hemoglobin) test measures the concentration of hemoglobin in your blood. Hemoglobin binds oxygen molecules and carries them to body tissues while removing carbon dioxide. Low hemoglobin suggests reduced oxygen-carrying capacity. It can be due to anemia, bleeding, nutritional deficiencies (iron, vitamin B12, folate), or chronic disease. High hemoglobin may occur in dehydration, living at high altitudes, smoking, or diseases like polycythemia vera.

    What Do the Results Mean?

    Pathological Factors 

    Test Parameter

    Interpretation (possible causes)

    Low levels

    • Anemia

    • Decreased red cell production (e.g., chronic kidney disease, chronic inflammatory conditions, red cell aplasia, leukemias, drug toxicity, radiation therapy)

    • Infection and bone marrow failure

    High Levels

    • Certain congenital defects of the heart, failure of the right side of the heart (cor pulmonale), 

    • Severe COPD 

    • Pulmonary fibrosis and other severe lung disorders are also associated with high hemoglobin 

    • Myeloproliferative neoplasms, such as polycythemia vera

    Physiological Factors

    👶 Age: Age differences may cause variations in Hb levels. 

    • In Neonates, Hb levels are the highest. Hb levels first drop and then gradually increase until puberty. 
    • In healthy elderly individuals, Hb usually stays steady until around the age of 60.

    🚹  Gender: Gender differences may cause variations in Hb levels, with males usually having higher values of Hb than females.

    🏔️ Altitude: Higher altitudes can cause changes in Hb levels.

    🤰 Pregnancy: During pregnancy, physiological changes cause a gradual decrease in the Hb levels, especially during the second trimester. 

    🧍 Posture: Changes in posture may impact Hb levels. For example, moving from lying to sitting can increase Hb.  

    🌞  Diurnal and seasonal variation: Slight fluctuations (about 3%) in Hb levels are observed throughout the day.

    Lifestyle Factors

    🥗 Diet: An inadequate diet, especially low intake of iron, vitamins, and folate, can lower hemoglobin levels. 

    🚬 Smoking: Long-term smoking can increase hemoglobin levels.

    🍷 Alcohol: Excessive alcohol consumption has an increasing effect on hemoglobin levels. 

    🚴‍♀️ Exercise: Intense exercise is likely to increase hemolysis and iron metabolism and lead to the development of sports anemia.

    🥤 Dehydration: Severe dehydration can apparently raise hemoglobin levels.

    Disclaimer: This information is for educational purposes only and should not replace professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance.

    What Do Normal Hemoglobin Levels Mean?

    Normal hemoglobin levels indicate that your body has an adequate capacity to carry oxygen to tissues, ensuring proper function and energy levels.

    What Do High Levels of Hemoglobin Indicate?

    High hemoglobin levels may indicate chronic lung disease, high-altitude adaptation, or a rare bone marrow condition called polycythemia vera.

    What to Do if Your Hemoglobin Is Higher Than Normal?

    If your hemoglobin is higher than normal, your doctor will check for possible causes such as dehydration, lung or heart conditions, or increased red blood cell production. Treatment may involve staying well-hydrated, oxygen therapy, or medications to manage red blood cell levels.

    What Do Low Levels of Hemoglobin Indicate?

    Low hemoglobin levels may indicate anemia. It can be due to iron deficiency, blood loss, chronic illness, or nutrient deficiency (vitamin B12/folate).

    Can Hemoglobin Results Be Inaccurate?

    Yes, certain factors, such as improper sample handling, dehydration, recent blood transfusion, etc., can affect hemoglobin readings.

    What Factors Can Affect Hb (Hemoglobin) Results?

    Though it is a reliable test, some circumstances can influence accuracy:

    • Dehydration
    • High altitude
    • Smoking
    • Excess diuretic use
    • Recent blood donation
    • Hemodilution (excess IV fluids)
    • Pregnancy
    • Body posture

    What Follow-Up Tests May Be Required?

    If your hemoglobin levels are abnormal (too low or too high), your doctor may recommend additional tests to identify the underlying cause. These follow-up investigations help determine whether anemia, dehydration, nutritional deficiency, or another health condition is responsible. These tests may include:

    Table: Tests Commonly Ordered Alongside Hemoglobin Test

    Test Name

    Primary Purpose

    CBC (Complete Blood Count) Provides a detailed overview of red and white blood cells and platelets
    Serum Iron, Ferritin, TIBC Identifies iron deficiency or overload
    Vitamin B12 and Folate Tests Detects deficiencies causing anemia
    Reticulocyte Count Evaluates bone marrow response and new red cell production
    Hemoglobin Electrophoresis Detects inherited blood disorders such as thalassemia or sickle cell anemia

    How Does the Hemoglobin (Hb) Test Differ from Other Blood Tests?

    The Hb (Hemoglobin) test is different from other blood tests because it specifically measures the oxygen-carrying capacity of your blood, not other components:

    • Red Blood Cell (RBC) Count: Shows the number of red blood cells, but doesn’t indicate how well they carry oxygen.
    • Hematocrit (Hct): Measures the proportion of blood made up of red cells, but not the hemoglobin content directly.
    • Iron Studies (Serum Iron, Ferritin, TIBC): Assess iron levels and storage, which affect hemoglobin, but don’t directly show oxygen transport.
    • Complete Blood Count (CBC): Gives overall blood cell counts, but hemoglobin specifically tells how much oxygen your blood can carry.

     

  • Platelet Count

  • The Platelet Count test measures the average number of platelets in the blood. Platelets are disk-shaped tiny cells originating from large cells known as megakaryocytes, which are found in the bone marrow. After the platelets are formed, they are released into the blood circulation. Their average life span is 7-10 days. 

    Platelets help stop the bleeding, whenever there is an injury or trauma to a tissue or blood vessel, by adhering and accumulating at the injury site and releasing chemical compounds that stimulate the gathering of more platelets. A loose platelet plug is formed at the site of injury and this process is known as primary hemostasis. These activated platelets support the coagulation pathway that involves a series of steps, including the sequential activation of clotting factors; this process is known as secondary hemostasis. After this step, there is a formation of fibrin strands that form a mesh incorporated into and around the platelet plug. This mesh strengthens and stabilizes the blood clot so that it remains in place until the injury heals. After healing, other factors come into play and break the clot down so that it gets removed. In case the platelets are not sufficient in number or not functioning properly, a stable clot might not form. These unstable clots can result in an increased risk of excessive bleeding. 

  • Total Leukocyte Count

  • The Total Leukocyte Count test measures the numbers of all types of leukocytes, namely neutrophil, lymphocyte, monocyte, eosinophil, and basophil, in your blood. Leukocytes or WBCs are an essential part of our immune system. These cells are produced in the bone marrow and defend the body against infections and diseases. Each type of WBC plays a unique role to protect against infections and is present in different numbers.

  • Hematocrit

  • The Hematocrit test measures the proportion of red blood cells (RBCs) in your blood as a percentage of the total blood volume. It is a crucial part of a complete blood count (CBC) and helps in assessing your blood health. RBCs are responsible for carrying oxygen from the lungs to different parts of the body. The hematocrit test provides valuable information about your blood's oxygen-carrying capacity.

    Higher-than-normal amounts of RBCs produced by the bone marrow can cause the hematocrit to increase, leading to increased blood density and slow blood flow. On the other hand, lower-than-normal hematocrit can be caused by low production of RBCs, reduced lifespan of RBCs in circulation, or excessive bleeding, leading to a reduced amount of oxygen being transported by RBCs. Monitoring your hematocrit levels is essential for diagnosing and managing various blood-related disorders.

  • Mean Corpuscular Volume

  • The Mean Corpuscular Volume test measures the average size of your red blood cells, which carry oxygen through your body. This test tells whether your RBCs are of average size and volume or whether they are bigger or smaller.

  • Mean Corpuscular Hemoglobin

  • An MCH test measures the average amount of hemoglobin in a single red blood cell (RBC). Hemoglobin is an iron-containing protein in RBCs, and its major function is to transport oxygen from the lungs to all body parts. This test provides information about how much oxygen is being delivered to the body by a certain number of RBCs.

  • Mean Corpuscular Hemoglobin Concentration

  • An MCHC test measures the average amount of hemoglobin in a given volume of RBCs. MCHC is calculated by dividing the amount of hemoglobin by hematocrit (volume of blood made up of RBCs) and then multiplying it by 100. 

  • Mean Platelet Volume

  • An MPV test measures the average size of the platelets in your blood. Platelets are disk-shaped tiny cells originating from large cells known as megakaryocytes, which are found in the bone marrow. After the platelets are formed, they are released into the blood circulation. Their average life span is 7-10 days. 

    Platelets help stop bleeding whenever there is an injury or trauma to a tissue or blood vessel by adhering and accumulating at the injury site, and by releasing chemical compounds that stimulate the gathering of more platelets. After these steps, a loose platelet plug is formed at the site of injury, and this process is known as primary hemostasis. These activated platelets support the coagulation pathway that involves a series of steps including the sequential activation of clotting factors; this process is known as secondary hemostasis. After this, there is a formation of fibrin strands that form a mesh incorporated into and around the platelet plug. This mesh strengthens and stabilizes the blood clot so that it remains in place until the injury heals. After healing, other factors come into play and break the clot down so that it gets removed. In case the platelets are not sufficient in number or are not functioning properly, a stable clot might not form. These unstable clots can result in an increased risk of excessive bleeding. 

  • PDW

  • The PDW test reflects variability in platelet size, and is considered a marker of platelet function and activation (clot formation in case of an injury). This marker can give you additional information about your platelets and the cause of a high or low platelet count. Larger platelets are usually younger platelets that have been recently released from the bone marrow, while smaller platelets may be older and have been in circulation for a few days. Higher PDW values reflect a larger range of platelet size, which may result from increased activation, destruction and consumption of platelets.

  • RDW CV

  • The RDW CV test which is part of red cell indices, helps identify characteristics of red blood cells. RDW (red cell distribution width) measures the variations in the sizes of red blood cells, indicating how much they differ from each other in a blood sample. RDW is expressed as RDW-CV, a coefficient of variation. A higher RDW may suggest more variation in red cell sizes, while a lower RDW indicates more uniform red cell sizes.

  • Absolute Leucocyte Count

  • The Absolute Leucocyte Count test measures the total number of white blood cells (leucocytes) in the given volume of blood. It examines different types of white blood cells such as neutrophils, lymphocytes, monocytes, basophils and eosinophils. These cells tell about the status of the immune system and its ability to fight off infections and other conditions like inflammation, allergies, bone marrow disorders etc.

    This further contains

    • Absolute Neutrophil Count
    • Absolute Basophil Count
    • Absolute Monocyte Count
    • Absolute Eosinophil Count

FAQs related to Complete Hemogram (CBC & ESR) in Kolkata

The Complete Hemogram (CBC & ESR) test is done to measure the quantity of blood cells like RBCs, WBCs, and platelets, and the sedimentation rate of WBCs. It is also used to diagnose anemia, hematological cancers, infections, allergies, acute hemorrhagic states, and immunodeficiencies.
The Complete Hemogram (CBC & ESR) test is performed to find the cause of symptoms like fatigue, weakness, inflammation, and fever.
A phlebotomist (a trained professional to perform blood draws) will clean the skin using an antiseptic alcohol cotton swab or wipe and take a blood sample from your body using a needle. The blood sample will be stored safely and transported to the lab for analysis.
A Complete Hemogram (CBC & ESR) provides complete information about your blood cells and helps identify the disease early, thus allowing you to take necessary measures in time.
There is usually no risk associated with this test. However, some people may feel a slight sting when a needle is pricked and may experience some bleeding that is normal and usually not bothersome. Some people may also experience slight swelling or bruising at the site of the needle prick. Applying ice 3-4 times daily for about a week may help reduce swelling and bruising. If it does not get better, consult your doctor.
Yes, a hemogram test is safe during pregnancy and may help detect any blood cell abnormalities in the mother and their associated risks to the baby.
The Complete Hemogram (CBC & ESR) test can help detect various conditions like infections, allergies, or diseases like anemia, polycythemia, or blood cancers.
Yes. In Kolkata, you can schedule the Complete Hemogram (CBC & ESR) test near you with Tata 1mg Labs. The test is easy to book, cost-effective, and available with a comprehensive report.
Yes, the Complete Hemogram (CBC & ESR) test is eligible for home sample collection in Kolkata. With Tata 1mg Labs, you can schedule a test at your convenience, and select a date and time for sample collection that fits your schedule.
The process to book the Complete Hemogram (CBC & ESR) test with Tata 1mg Labs in Kolkata is quite straightforward. To schedule a test online, follow these steps: 1). Go to the Lab Tests section on the Tata 1mg website. 2). Add your preferred test to the shopping cart. 3). Choose a time and day that works for you as long as you also take the essential prerequisites into account. 4). A confirmation notification will be sent to you with all the details once the booking is complete.
We at Tata 1mg understand the importance of affordable healthcare and therefore provide lab tests at a pocket-friendly budget. A Complete Hemogram (CBC & ESR) test package in Kolkata is available at Rs. 359.
Tata 1mg Labs understands the importance of timely results and strives to deliver them quickly. On average, we deliver the results of the Complete Hemogram (CBC & ESR) test in Kolkata in 12 hours.

Complete Hemogram (CBC & ESR) test price for other cities

Price inBangaloreRs. 439
Price inPuneRs. 269
Price inNew DelhiRs. 419
Price inMumbaiRs. 329
Price inGurgaonRs. 399

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Contains 22 tests
ESR (Erythrocyte Sedimentation Rate)
CBC (Complete Blood Count) (21)
Differential Leukocyte Count (5)
Red Blood Cell Count
Hb (Hemoglobin)
Platelet Count
Total Leukocyte Count
Hematocrit
Mean Corpuscular Volume
Mean Corpuscular Hemoglobin
Mean Corpuscular Hemoglobin Concentration
Mean Platelet Volume
PDW
RDW CV
Absolute Leucocyte Count (5)