Reduce protein from your regular diet n consultant physician will solve your problem.

Naturally if u want to reduce your ESR LEVEL ..Plz get lymphatic dry needling from a specialised physio who can do the dry needling at lymphatic system nd lymphatic nodes.   It will not only reduce your ESR level rather it also lowers your any active inflammation of acquired  based reason or autoimmune based ..

ESR is a marker of inflammation and is slow to respond to improving inflammation. It improves slowly. Avoid red meat completely. When you eat proteins like dals then again try to keep it within normal requirements for a healthy person. Protein overload worsens gout. Also avoid alcohol as well. Drink good amount of water. Get followed up by a Rheumatologist regularly for your gout. Hope this helps. Dr Vinu Raj Consultant Orthopaedic Surgeon MBBS MRCS FRCS(Trauma&Orth)

Esr should settle down after medication only.  Consult ur doctor

High ESR indicates an ongoing inflammation. In your case it may be due to uncontrolled Gout. Kindly consult an Orthopaedic or Rheumatologist & they'll guide you further.