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What if a CRP test is positive?

Published in Medical Test Results 3 mins read

A positive CRP test means there's inflammation happening somewhere in your body.

Understanding a Positive CRP Test

A C-Reactive Protein (CRP) test measures the amount of CRP in your blood. CRP is a protein made by your liver in response to inflammation. A positive test result (meaning a higher-than-normal level of CRP) is a signal that your body is experiencing inflammation.

What Does a Positive CRP Indicate?

According to the reference, a positive CRP test indicates the presence of inflammation in the body, which can be a sign of infection, tissue injury, or chronic diseases like rheumatoid arthritis or inflammatory bowel disease. Therefore, it is not a diagnosis itself but a pointer to inflammation that needs further investigation.

Possible Causes of Elevated CRP:

  • Infections: Both bacterial and viral infections can trigger an increase in CRP levels.
    • Examples include: pneumonia, urinary tract infections, and skin infections.
  • Tissue Injury: Any damage to your tissues, such as an injury or surgery, can result in inflammation.
  • Chronic Inflammatory Diseases: Several chronic conditions are linked to ongoing inflammation.
    • Examples include:
      • Rheumatoid arthritis
      • Inflammatory bowel disease (Crohn's disease and ulcerative colitis)
      • Lupus
  • Other conditions: Some less common causes might involve certain cancers or other illnesses

What Happens After a Positive CRP Test?

A positive CRP test usually leads to further testing and evaluation to identify the specific cause of inflammation.

  1. Follow-up Tests: Your doctor will likely order additional tests such as:
    • Blood tests to check for infection.
    • Imaging tests (X-rays, CT scans, MRIs) to visualize affected tissues or organs.
    • Specific tests for autoimmune diseases.
  2. Medical History and Physical Examination: A thorough review of your medical history and a physical examination can also provide clues about the cause of the inflammation.
  3. Treatment: The treatment plan will depend on the underlying cause of the inflammation.
    • Infections: Antibiotics or antiviral medications may be prescribed.
    • Inflammatory Conditions: Medications to manage the inflammation and symptoms will be considered. This might include steroids or other anti-inflammatory drugs.
    • Injuries: Pain management and other treatments to support healing may be recommended.

Key Takeaways:

  • A positive CRP test indicates inflammation but does not specify the cause or location.
  • Further medical evaluations are usually needed to diagnose the root cause of the inflammation.
  • The specific treatment approach depends entirely on the underlying reason for the elevated CRP.
Test Result Meaning Possible Causes
Positive Indicates inflammation in the body Infections, tissue injury, chronic conditions (e.g., rheumatoid arthritis, inflammatory bowel disease), some cancers

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