Conversation: The conversation between human and AI assistant.
[|Human|] Dear Sir, My name is xxxxx female, and 31 years old from Pakistan, i got married from last 3 months, I have a problem that I have higher ESR up to 70, I don t want to eat any thing or less my diet day by day due to less hungry, less amount of fever 98-99C every night from last 01 month, getting weak day by day, Coughing from last 1 and half month ago, Pain in my breast, I got my blood test for MTB, which is negative (as prescribed by local physician). Kindly tell me what sort of Problem i Have, and how can i reduce my ESR level up to normal, Waiting for your soonest reply, thanks.
[|AI|]  Hi, dairy have gone through your question. I can understand your concern. There are many causes of high ESR. Tuberculosis, infection, anemia, autoimmune disease, paraprotienemia, malignancies all can lead to high ESR. You should search the cause first.  You should go for complete blood count, x-ray chest and ANA test.  It will give you idea regarding cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.