<s>[INST] hi siri am divya....im a 1st year medical student in china.....so im very much conscious about my mom's health....she often says she has pain in her right leg....she consulted doctor and had a report saying........haemotology test:::blood:haemoglobin : result 101/2 hr reading : result : 201 hr reading : 40doctor says the esr value is quite high....may i please know the causes,symptoms...how to control.....like that...please it is uegent please do give a reply....sir..... [/INST] Hithere are many causes of high esr.like tuberculosis. , infection. , inflammation, autoimmune conditions, paraprotienemia, and many other.  So first of all you should search the cause.and then take treatment accordingly.  Because without knowing cause its very difficult to prescribe treatmrnt.so consult physician and take treatment accordingly. </s>