Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

I have many questions for you regarding this report, and your symptoms. Feel comfortable to connect

High esr of 60 needs evaluation. Can be a rheumatological and immunological disorder. Kindly connect if you want further advice

High ESR only indicates  that all is not well physically since few days. Details would be needed about any  minor health issue in recent past or present?

Avoid fried food and spicy food Water intake more Green leafy vegetables and fruits Do connect and consult

Hi, Hope you are doing well. ESR is a very non specific test- which means that it being high does not point to any particular disease or condition Sometimes you can have a high ESR due to dehydration of a recent viral fever or flu also. If your hemoglobin is low, your ESR can be high and we need to correct the value based on your hemoglobin For your age 17.5 and above is high.

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Already answered lot of times.  Ciplar LA 20 one after breakfast for two. Nexito10 one at night for two weeks.

It is too high. Please seek a proper consultation with a General Physician in your area.

Kindly connect Need few more details.

Connect

Need more history for proper evaluation. Kindly connect for further management

Need few more details Kindly consult

Kindly connect….

Do consult. Needs to be evaluated.

**To the Patient:**  Your hemoglobin level of 17.9 g/dL is significantly elevated for a 25-year-old male. While blood thinners may address symptom management, they do not treat the underlying cause. High hemoglobin can result from conditions like **polycythemia vera, chronic hypoxia (e.g., due to smoking or sleep apnea), dehydration, or other hematologic disorders**. Untreated, this poses risks of **blood clots, stroke, or organ damage**.  **Next Steps:**  1. **Immediate Consultation:** Schedule an in-person evaluation to assess symptoms (e.g., headaches, dizziness), review medications, and order tests (CBC, JAK2 mutation, oxygen saturation, EPO levels).  2. **Hydration & Lifestyle:** Avoid dehydration and smoking; monitor for symptoms like redness or itching.  3. **Avoid Self-Management:** Do not adjust blood thinners without medical supervision.  **Urgent Action Required:**  This is not a benign finding. For a **detailed assessment and personalized plan**, contact me directly.  **My WhatsApp:** Eight Zero Zero Nine Eight Two One Three Three Two (for secure consultation). 

If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.

Weight reduction, anti helmenthic medication

Pls connect with me for details

You should visit a physician for proper physical examination and treatment