From the report and symptoms (fever and stomach pain for about 2 months), a few findings are important:
• Hemoglobin: 9.7 g/dL → indicates Anemia (low blood level).
• Platelets: 1.27 lakh → slightly low.
• ESR: 100 → very high, which usually indicates significant inflammation or infection in the body.
• Bilirubin (Total 1.6, Direct 1.0) → mildly elevated, suggesting possible
liver or biliary system irritation.
• Malaria test is negative, and WBC count is within the lower-normal range.
Because he has recurrent fever and abdominal pain for 2 months with a very high ESR, this suggests a chronic infection or inflammatory condition rather than a simple viral illness. Conditions like chronic infection, liver/biliary infection, tuberculosis, or gastrointestinal inflammation need to be ruled out.
Next Steps
Your father should undergo further evaluation soon. Important tests usually recommended in this situation include:
• Ultrasound of the abdomen (to check
liver, gallbladder, pancreas, spleen).
•
CRP test to assess active inflammation.
• Blood culture if fever continues.
• Widal test / Typhoid testing if clinically suspected.
• Peripheral smear and iron studies to evaluate the anemia.
• Possibly chest X-ray if chronic infection like TB needs to be ruled out.
Since he is 60 years old and has fever for 2 months, it is important that he consults a physician or internal medicine specialist soon rather than only treating symptoms.
Health Tips
• Ensure he drinks adequate fluids and eats light nutritious food to help recovery.
• Include iron-rich foods (green vegetables, dates, lentils, eggs if non-vegetarian) to support anemia.
• Monitor daily temperature and note if fever occurs at a particular time of day.
• Avoid self-medicating with antibiotics repeatedly without identifying the cause.
Because the ESR is very high and symptoms have lasted for 2 months, it would be best to review the full history and reports carefully. You can book an online consultation so I can analyze the report in detail and guide you on the exact tests and treatment your father should start next.