Why ESR level increases in blood and how it can control? Name: Shibu Age: 42, Height 5.7 , Weight 60 kg. History: Healthy and energetic. Had gout problem, uric acid level is normal. Query: Recent medical check-up, my ESR level is high. Two weeks before I had Stomach upset and it had been continued for two and half days. Also, I had medicine for gout (loric 100 tablets, voltare D50, Gupisone, voltaren retard 100). Please advise me why ESR level is increased and what are steps to be taken to diminish the ESR level.