by
Almog Ramrajkar
| Apr 09, 2025
Updated on - 02 Feb 2026
Erythrocyte Sedimentation Rate (ESR) is a key blood test that shows how much inflammation is present in your body. If your ESR is high, it might mean you're dealing with an infection, injury, autoimmune issue or chronic illness. This can feel worrying, but you can often support your health using simple home remedies, healthy habits and the right foods. This blog explores what causes ESR to rise and offers practical ways to help manage it at home.
What Causes High ESR Levels?
High ESR levels are an indicator of Inflammation in the body. Some of the common reasons behind high ESR levels are:
- Infections: When the body is infected with a bacterial or viral infection, it releases certain proteins that increase the rate at which the blood cells settle in the test, resulting in higher ESR levels.
- Autoimmune and Inflammatory Conditions: Health conditions when the immune system becomes overactive are a common reason behind inflammation in the body.A rapid immune response, while required by the body, leads to inflammation increasing ESR.
- Anaemia and Blood Related Disorders: Lower levels of RBCs caused by blood-related issues also cause high levels of ESR.
- Thyroid and Metabolic Changes: Hyperthyroidism and other issues related to thyroid lead to an imbalance in metabolism, which in turn affects the inflammatory response of the body and results in increased ESR.
- Age and Biological Factors: ESR usually increases with age. Women also have higher ESR than men due to hormonal differences. Pregnancy, menstruation or recent physical stress can temporarily raise ESR without any illness.
- Medications: Certain medicines, such as those taken for hormonal therapy, anti-inflammatory drugs or for chronic illnesses, may also affect ESR levels.
Home Remedies to Reduce ESR in Blood
Managing ESR at home is done by keeping inflammation in check and supporting overall health.
The following are some popular tips on how to reduce ESR in blood using home remedies:
1. Use Spices
Consider using basil (tulsi), oregano, coriander or chilli pepper powder. Using fresh garlic in cooking meals is also an age-old remedy for managing inflammation. Ginger is another spice that has soothing properties and aids digestion, and can be added to meals.
2. Healthy Oils
Flaxseed and olive oil have healthy fats that are known to support the body’s anti-inflammatory response. The Omega-3 in these oils, when consumed as part of a balanced diet regularly, is believed to support digestion, control inflammation and help the immune system.
3. Stay Hydrated
Strive for at least 2 litres of water intake daily, and consider incorporating green tea for its benefits in reducing ESR levels and mitigating risks of various diseases.
4. Herbal Teas
Teas such as tulsi, chamomile or mint are believed to improve digestion and ease stress, which are important factors in managing inflammation and ESR levels.
Natural Foods that Help Lower ESR
A balanced diet can support the immune system and help reduce inflammation naturally when followed properly.
Some food items you can add to your diet to maintain healthy ESR levels are:
- Fatty fish: Fish are rich in Omega-3, which is believed to regulate the inflammatory response of the immune system by supporting cell health.
- Antioxidant rich fruits: Fruits like blueberries, pomegranate and oranges provide vitamins and plant compounds that may reduce oxidative stress.
- Leafy greens and vegetables: Vegetables such as beetroot, spinach and kale are rich in vitamins A, C and K, along with fibre, minerals and phytonutrients that support the normal functioning of the immune system.
- Nuts and seeds: Their healthy fat and antioxidant content promote better inflammation control.
Lifestyle Changes to Maintain Normal ESR Levels
Simple lifestyle changes can support the immune system and help maintain healthy ESR levels:
1. Healthy Diet
Prioritise antioxidant-rich foods like omega-3 fatty acid-rich fish, berries, broccoli and leafy green vegetables.
2. Daily Exercise
Engaging in daily exercise offers you various benefits, including inflammation reduction. Tailor your workouts to your capacity and aim for five days of exercise weekly, which may encompass activities such as running, cycling or yoga.
3. Processed Foods
Try to keep away from processed foods and those that are high in unhealthy cholesterol. They can significantly prompt inflammation and elevate your ESR levels. Steer clear of items like packaged snacks and fizzy drinks.
4. Avoid Alcohol and Tobacco
Tobacco contains chemicals that may increase inflammation levels. Alcohol in excess can also strain the liver and immune system. Staying away from tobacco and alcohol or limiting the intake can support healthier levels of ESR naturally.
5. Adequate Sleep
Sleep allows the body to repair tissue, regulate hormones and manage inflammation. Poor sleep pattern is believed to increase inflammation, which leads to high ESR levels. A consistent sleep routine and a restful environment close to your bedtime can support rest and help maintain healthy ESR levels.
In addition to a healthy lifestyle, having individual health insurance provides useful financial support in case of an emergency.
Medical Treatments for Constant High ESR
Medical care often moves from managing to treating ESR if the levels remain high despite lifestyle changes and natural remedies, or if the underlying cause for inflammation is severe. Some medical treatments used for controlling high ESR are:
- Diagnostic tests: ESR is combined with other tests to find and treat the underlying issues. These tests include:
- C-reactive protein (CRP): To check active inflammation in the body
- Complete Blood Count (CBC): To measure red and white blood cell count and platelets
- Thyroid function test: To rule out thyroid-related issues
- Autoimmune Markers (ANA, RF): These may be used if immunity-related inflammation is suspected
- Infection Screening: Tests such as urine analysis or culture test may be prescribed based on symptoms
- Treatments based on underlying condition: Doctors also prescribe treatment related to specific causes of the rise in ESR. These include treatment for chronic illnesses (lifestyle management, regular monitoring or medicine for specific symptoms), autoimmune diseases (long-term health management plans) and infections (managed by medicines prescribed by the doctor.
- Monitoring ESR over time: In some cases, ESR monitoring is part of ongoing care. ESR is tracked for several months to check how the body is responding to treatment or recovery. This long-term monitoring is important to ensure that the underlying issues are being effectively managed.
Role of Health Insurance in Covering Diagnostic Tests
Regular monitoring becomes essential in case of high ESR levels cause issues such as chronic illness or recurring infections. A health insurance policy provides the required financial support for consultation, diagnosis and treatment of such health issues.
- Coverage For Diagnostic Tests: Depending upon the policy terms, the insurance can cover ESR and other tests, consultations, follow-up assessments and OPD services.
- Long-term Conditions and Follow-up Care: Certain cases of prolonged inflammation require periodic diagnosis. Health insurance may help by providing cover for essential tests, which is especially useful for people managing autoimmune diseases or chronic illnesses that require multiple tests and follow-up visits to the doctor.
As you work on managing your health and keeping ESR levels in healthy limits, it can be helpful to have proper guidance for choosing the right health insurance plan. If you want expert advice on insurance that takes into account your financial and health needs, fill out the form at the end of this page and get insightful advice specific to your case.
Conclusion
The right approach for keeping ESR levels under control is to balance lifestyle choices, diet and medical support. Exercising, eating right and following the doctors instructions especially in case of chronic illness can be especially helpful in managing ESR.
FAQs
1. What does ESR indicate?
ESR reflects the level of inflammation in your body. If it stays high over time, it may point to an underlying health concern that should be checked by a doctor.
2. Is a high ESR level considered dangerous?
High ESR alone is not dangerous, but it could indicate a health issue that needs medical attention.
3. Can diet lead to a lowering of ESR levels?
A balanced diet can help reduce inflammation by supporting the body’s immune response, but the results vary from person to person.
4. What should be the frequency of an ESR check-up?
The number of times one needs to get their ESR check-ups depends on the severity of the case and the underlying health condition being monitored. Consult your doctor to better understand the schedule you need to follow for ESR and other tests.
5. Do health insurance plans provide coverage for the ESR test?
Yes, usually a mediclaim policy provides coverage for an ESR test, but the coverage depends upon the details of the health insurance and the consultation of the doctor.
Disclaimer: The information provided in this blog is for educational purposes only. Please consult a medical or nutrition professional before making any significant changes in your daily diet. Relying on any information provided in this blog is solely at your own risk, and ICICI Lombard is not responsible for any impact or consequences resulting from the use of the information shared.