He got stent in 2014 and taking medicines for heart and sugar. In April he faced ulcer bleeding and hospitalized. They did endoscopy two times and blood transfusion 2 units. At the time of discharge hb, creatinine and esr were normal. Medicines followed are obimet, ecosprin 75 mg, atorva 10 mg, flavedon Mr. 35, pan. But after 3 weeks the results were esr 133 mm creatine 2.3 hb 9 and still the readings are same. The abdomen usg results are Mild thickening of antral wall and tiny cortical cyst in both kidneys. His age is 70. His blood pressure is normal now. Elevated Esr is an big issue? It will reduce automatically after a month? What kind of treatment will be given?
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As of now we should stop Ecosprin and Avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet and To increase Heamoglobin value apart from medication eat green vegetables, carrots , beet etc and I will suggest him to take injection vitcofol 2cc intramuscularly every alternate days for five pricks over the buttocks through a health professional and follow up on completion and remember to maintain his vital parameters
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He is in need of detailed eval for high ESR and AKI. Meet with nephrologist. He may need invs to rule out multiple myeloma, TB, Autoimmune disease, RPGN and others.
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