Conversation: The conversation between human and AI assistant.
[|Human|] i am 54 years old men. my haemoglobin range is 7.5 & esr is 120.my bone marrow & other investigation done.i have fatty liver & enlarge spleen.other wise all the report was allright.ocationaly haemoglobin range fall down.and esr level is always high.so what can i do.
[|AI|]  Hi, Welcome and thanks for asking. Low hemoglobin and high ESR suggests a definite chronic inflammation. Common causes include multiple myeloma and tuberculosis. As bone marrow is already investigated, other investigations are required as follows:1. C-reactive protein levels2. Screening for antibodies - ANA3. Type of anemia - and 7.5 is low at this age and needs to be aggressively treated. Further followup can be done after investigations. Any further query, happy to help again.