### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Thank you very much, i just would like to know what s the implication of having an ESR of 49 mm/hr. By the way i am a woman and i was infected with Rubella virus last November 17, 2015, i suffered severe pains in my almost my whole body but until now i still have the symptoms-pains of muscles, bones, and joints. What do you think i am suffering now? Am i suffering the complications of rubella virus or i have other illnesses that made my ESR high. Thanks again.

### output:

Hi dear, Thanks for choosing Chat Doctor. High ESR is not specific test to any disease, it occurs due to an underlying inflammation, that can be in anywhere in the body due to many factors such as infection (cold infection, tuberculosis or any kind of infection), arthritis, thyroid dysfunctions, tumors and the list continues. Therefore, when doctors see high ESR they consider running other tests to find out the underlying condition. I highly doubt your symptoms are related to your previous Rubella infection, rubella infection subsides with in 14 days, there are some women who reported joint pains that continued for almost a month, It's unusual to see the symptoms of joint pain or body ache continue more than that. Follow my advice below.1. Do you have any kind of infections at the moment? For example sore throat, pharyngitis, flu? Etc. if so then your high ESR level would be just because of that, so wait for at least a month and redo blood test to check ESR level, if its still high while you are not experiencing in infection symptoms then visit Doctor to do more tests.2. If you currently have no any sign of infection such as above-mentioned then visit a doctor now, so that they can run appropriate tests to check for any underlying diseases. I hope this helped. If you have more questions don't hesitate to ask. Wish you all the best