<s>[INST] My sister has an esr level of 120mm which is extremely high in her right hand.....she is going to face her public exam the following week...she was taking tablets for this..but suddenly she gets severe stomach pains if she continues the medicine.how to reduce her esr level and make her feel easy to write her exams?...Please help [/INST] Hi and thank you so much for this query. I am so sorry to hear about this high ESR level. This in itself is not a disease but raises the suspicion of an ongoing inflammatory process. The exact cause of this condition has to be investigated and manged, probably. No doctor would be BTO lower the rate unless he knows the cause and treats it fully. I am afraid she has been taking anti-inflammatory medications that is causing this stomach pain. Please, let her discontinue this medication, talk to a doctor and get this problem investigated and managed appropriately. I hope this ad Chat Doctor.  Feel free to ask for clarifications and more information if need be. I wish you well. </s>