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When ESR is High, What is the Treatment?

Published in Inflammation Treatment 3 mins read

A high erythrocyte sedimentation rate (ESR) indicates inflammation in the body. Treatment focuses on addressing the underlying cause of the inflammation, not the high ESR itself. The ESR is a marker, not a disease.

Understanding High ESR

A high ESR, often called a "sed rate," simply means that your red blood cells are settling faster than normal in a test tube. This faster settling is a sign of inflammation, infection, or other medical conditions. It's crucial to identify the root cause before determining treatment.

Treatment Approaches

Treatment for a high ESR depends entirely on the cause of the inflammation. This may involve several approaches, including:

  • Lifestyle Modifications: In some cases, lifestyle changes such as regular exercise and a balanced diet can help reduce inflammation. [Source: Health-e and several other references above highlight the importance of exercise and diet for overall health and potential inflammation reduction.]

  • Home Remedies: Some individuals explore natural remedies, however, these should always be discussed with a doctor and used in conjunction with medical advice. [Source: MyHealth mentions the use of home remedies such as Ashwagandha and Shunti but strongly implies consulting a healthcare provider.]

  • Medical Interventions: When lifestyle changes and natural remedies are insufficient, medical treatments are necessary. These may include:

    • Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): These medications help reduce pain and inflammation.
    • Corticosteroids: Stronger anti-inflammatory medications used for more severe inflammation.
    • Disease-Modifying Antirheumatic Drugs (DMARDs): Used to treat autoimmune diseases causing inflammation, like rheumatoid arthritis.
    • Biological Response Modifiers: These medications target specific parts of the immune system to reduce inflammation. [Source: health-e.in explicitly lists these medical treatments as options if lifestyle changes prove insufficient.]
  • Treating the Underlying Condition: The most effective treatment is to address the underlying condition causing the elevated ESR. This could range from treating an infection with antibiotics to managing autoimmune diseases with specific therapies. [Several sources, including Mayo Clinic's information on rheumatoid arthritis, highlight this approach.] For example, in cases of suspected giant cell arteritis (GCA), high-dose steroid treatment may be initiated immediately pending biopsy results. [Source: NCBI PMC article]

Important Note: A high ESR alone does not dictate treatment. A doctor must determine the reason for the elevated ESR through a thorough examination, medical history, and other tests before deciding on an appropriate treatment plan. The treatment plan will directly address the cause of the inflammation, not just the high ESR reading.

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