Conversation: The conversation between human and AI assistant.
[|Human|] hi i just get my blood test and i come to know dat my ESR is high its 50mm and my ANA[ANTNUCLEAR ANITBODY] is negative i am negative for reumatoid artritis and lupus but have severe vit d deficiency i just want to know the possible cause of my increase ESR
[|AI|]  Hi, dear. I have gone through your question. I can understand your concern. There are many causes of high ESR.  Anemia, infection, tuberculosis, autoimmune disease, paraprotienemia, malignancy etc. can lead to high ESR.  You should investigate for that and take treatment accordingly.  Your it D deficiency need treatment. You should take it D supplements. Consult your doctor and 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.