Brief Answer:
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Detailed Answer:
Dear Friend
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ESR is a non-specific marker. It can be increased in any infection or inflammation , so it is co-related clinically with other signs and symptoms , as well as with other investigations.
So , I need to evaluate you regarding this high ESR.
ESR Of 40 mm/hr is high, and requires evaluation
I need to know exactly where you have pain , in the muscles or in the joints?
Are you having any
stiffness in morning associated with pain?
Any history Reddening of eyes frequently, oral ulcers, any rashes , or any other medical history?
Any recent
fever or any fever of long duration?
Any
cough or expectoration?
Any history of
diabetes.
Do also mention , since how long you are having these pains in fingers and feet. They are on both hands and both feet or random?
Revert me with these answers , so that i can help you in making the possible diagnosis.