<s>[INST] I am suffering from RHEUMOTOID ARTHARITIES .At the moment I am under the treatment of Homeopathic Doctor Dr. S Patra  who has advised to reduce ESR  (which was reduced from 113 to 70;  which has again shot up to 83) .  At the same time  I am pruned to  acute Asthamic cough & cold. Hence please suggest me how to reduce the ESR. [/INST] Hello and Welcome to ‘Ask A Doctor’ service.  I understand your concerns and I will try to help you as much as I can. ESR is just a value, not the disease and this is obviously caused by rheumatoid activity. It can be lowered with anti-ifnlammatory drugs such as nosnteroid painkillers, steroids, Azatiprin or biological therapy and best solution should be discussed with rheumatologist. Till then, you can take Diclofenac and have physical therapy.Hope I have answered you query. If you have any further questions you can contact us anytime.Wish you a good health.Kind regards,Dr. Ivan R. Rommstein </s>