Hi, thanks for your query.
Raised ESR can occur due a number of disorders within our body like chronic infective conditions like tuberculosis
and infective endocarditis
, auto-immune diseases like systemic lupus erythematosus
, rheumatoid arthritis
, malignancy, or certain physiological conditions like pregnancy
Now to decrease ESR to normal the underlying cause has to be identified and treated. You may consult a physician for this.
Dandruff more or less persists throughout life. You may use anti dandruff shampoo as advised and and once it has decreased you may use it once in a week or 15 days for maintenance.
For grey hair you may apply melitane 1% gel (available as altris gel by alembic)
and calcium pentothenate tablets orally under dermatological guidance.
Hope this addresses your concern.