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How to Reduce ESR in Blood?

Learn natural ways to reduce ESR (Erythrocyte Sedimentation Rate) levels through diet, lifestyle changes, and home remedies. Improve overall health by managing inflammation effectively.

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Last updated on 3rd Jul, 2025

If you’ve recently had a blood test and your Erythrocyte Sedimentation Rate (ESR) is high, you might be wondering what it means and how to bring it down. This guide will help you understand ESR, why it matters, and simple ways to manage it effectively.

What is ESR?

ESR is a blood test that measures how quickly red blood cells settle at the bottom of a test tube in one hour. A high ESR indicates inflammation in the body, which can be due to infections, autoimmune diseases, or chronic conditions. While ESR alone doesn’t diagnose a specific disease, it helps doctors identify underlying health issues.

Common Causes of High ESR

Several factors can increase ESR levels, including:

  • Infections: Bacterial or viral infections can temporarily raise ESR.

  • Autoimmune diseases: Conditions like rheumatoid arthritis or lupus increase inflammation.

  • Chronic inflammatory conditions: Disorders such as IBD can lead to elevated ESR.

  • Anaemia: Low red blood cell count can affect sedimentation rate.

  • Kidney disease: Poor kidney function may contribute to chronic inflammation.

  • Cancer (rare cases): Certain cancers can cause persistently high ESR.

  • Ageing: ESR levels tend to rise naturally with age.

Symptoms of High ESR

Since ESR is linked to inflammation, you may experience:

  • Fatigue

  • Joint pain or stiffness

  • Fever

  • Unexplained weight loss

  • Headaches

  • Muscle aches

If you notice these symptoms along with a high ESR, consult your doctor for a proper evaluation.

How to Lower ESR Naturally?

While treating the underlying condition is essential, certain lifestyle changes can help reduce inflammation and lower ESR levels.

1. Anti-Inflammatory Diet

What you eat plays a key role in managing inflammation and lowering ESR:

Foods to Include:

  • Fruits & vegetables: Berries, leafy greens, and tomatoes for antioxidant support.

  • Healthy fats: Olive oil, avocados, nuts, and fatty fish reduce inflammation.

  • Whole grains: Oats, quinoa, and brown rice support overall health.

  • Spices: Turmeric, ginger, and garlic have natural anti-inflammatory properties.

Foods to Avoid:

  • Processed foods: Often high in additives that trigger inflammation.

  • Sugary snacks and drinks: Can spike blood sugar and worsen inflammation.

  • Excessive red meat: Linked to higher inflammation markers.

  • Fried and oily foods: Promote oxidative stress and inflammation.

2. Stay Hydrated

Drinking enough water helps flush out toxins and reduces inflammation. Aim for 8-10 glasses daily.

3. Exercise Regularly

Moderate physical activity (walking, swimming, yoga) helps reduce inflammation and improves circulation. Aim for 30 minutes daily.

4. Manage Stress

Chronic stress can elevate inflammation and increase ESR. Practise these techniques:

  • Meditation: Calms the mind and helps regulate stress hormones.

  • Deep breathing exercises: Activates relaxation response and lowers inflammation.

  • Adequate sleep (7–8 hours): Supports immune balance and recovery.

5. Quit Smoking & Limit Alcohol

Smoking and excessive alcohol worsen inflammation. Cutting down can help lower ESR levels.

6. Herbal Remedies

Some natural supplements may help, but always consult your doctor first:

  • Turmeric (Curcumin): Powerful anti-inflammatory

  • Omega-3 Fatty Acids: Found in fish oil

  • Ginger Tea: Helps reduce inflammation

When to Consult a Doctor?

If your ESR remains high despite lifestyle changes, or if you experience severe symptoms like persistent fever, joint swelling, or unexplained weight loss, consult a doctor immediately. They may recommend:

  • Additional blood tests (CRP, CBC, autoimmune markers)

  • Imaging tests (X-rays, MRI)

  • Specialist consultation (rheumatologist, infectious disease expert)

Can Medications Help Lower ESR?

Yes, medications can help lower ESR based on the underlying cause:

  • Antibiotics: Used to treat bacterial infections that raise ESR.

  • NSAIDs: Help reduce pain and inflammation (e.g., ibuprofen).

  • Steroids: Suppress immune response in autoimmune conditions.

  • Disease-modifying drugs: Used for long-term control of chronic inflammatory diseases.

Never self-medicate. Always follow your doctor’s advice.

Conclusion

A high ESR signals inflammation but isn’t a disease itself. By adopting a healthy lifestyle, eating an anti-inflammatory diet, and managing stress, you can help lower your ESR naturally. However, always work with your doctor to identify and treat the root cause.

Consult Top General Physician

Dr D M Karthik, General Practitioner

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Dr. Syed Ismail Ali, General Practitioner

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Dr D M Karthik, General Practitioner

Dr D M Karthik

General Practitioner

4 Years • MBBS, Fellowship in Diabetes Mellitus, Advance certificate in Diabetes Mellitus, Derma Nutrition Certification

Visakhapatnam

Apollo 24|7 Clinic - Andhra Pradesh, Visakhapatnam

449

44 Cashback

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Dr. M L Ezhilarasan

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6 Years • MBBS

Visakhapatnam

Apollo 24|7 Clinic - Andhra Pradesh, Visakhapatnam

600

49 Cashback

Dr. Suraja Nutulapati, General Physician/ Internal Medicine Specialist

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10 Years • MBBS, MD (Internal Medicine)

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Apollo 24|7 Clinic, Hyderabad

recommendation

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(850+ Patients)

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