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

### input:
hi  i have a problem my esr is so high its 94 and i did my all test like vdrl hiv1,2 hsv1,2 ca 125 uric acid ra factor   whole blood count thyroid  blood sugar random x-ray full abdoumen scan but nobody knows whats the reason.my e-mail is  YYYY@YYYY

### output:

The Erythrocyte Sedimentation Rate (ESR) is a blood test that measures inflammation or abnormal proteins in the body.  While the ESR is not an indication of any one disease, it commonly increases with any condition that causes inflammation, such as infection, arthritis, or cancer.  However, up to 10% of normal, healthy people have a mildly elevated ESR, and it tends to increase with age.  The higher the level of ESR, the more likely the person is to have a condition known to be associated with it. Of the arthritic diseases, an elevated ESR is most closely associated with polymyalgia rheumatic (PMR) and giant cell arthritis (GCA). If disease is active, rheumatoid arthritis, systemic lupus erythematous, vasculitic disease and almost any other inflammatory condition may be associated with an elevated ESR.  Other well-established causes included subacute bacterial endocarditis (BE), myeloma, abscess, pelvic inflammatory disease (PID), inflammatory bowel disease (IBD) and osteomyelitis.  However, almost any condition that causes sudden or significant inflammation in the body can be associated with an elevated ESR. An elevated ESR cannot establish any diagnosis by itself.  Similarly, a normal ESR does not rule out an arthritic condition since many people with arthritis have a normal or only mildly elevated ESR.  A normal ESR does reduce the likelihood of GCA, PMR and BE.  Thus, the ability of this test to predict presence or absence of disease is far from perfect. Regards Chat Doctor. 