Conversation: The conversation between human and AI assistant.
[|Human|] Hi I am 49 year old woman last week my hands were very swollen and my joints of my fingers hurt  badly and they were and still are tingly, my knees are swollen and hurt and my feet hurt I cant even bend them. I had a blood test done at the hospital an esr that read 39. what does it mean and what can be done about this?
[|AI|]  Hi I am Chat Doctor. .  IN my opinion that is a kink of gouty arthritis which is diagnosed properly by SUA (serum uric acid)or RA rheumatoid arthritis or SHE etc. an underlying systemic disease that circulates in your blood stream so I recommend more lab investigations more than ESR which only shows sedimentation rate of blood and coagulation and not related to your condition it only shows that there is a kind of infection which is not that specific normal values are Women under 50 years old: Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask.