Hello,

Thanks for your query.

I have gone through the blood investigation report as attached with your post.

A. Normocytic Normochromic RBC indicate that the Red Blood Cells are normal in shape & color (hemoglobin content) which rules out Anemia.

B. The Erythrocyte Sedimentation Rate (ESR) value is 123 mm/hr.
This is higher than the normal.
Normal ESR values being 0-20 mm/hr.

The causes of increased ESR can be many such as:
1. Tuberculosis
2. Rheumatoid arthritis
3. Multiple myeloma
4. Temporal arteritis
5. Various auto-immune diseases
6. SLE)
7. Chronic kidney diseases, etc.

An elevated ESR level does not establish any diagnosis by itself because almost any condition that causes significant inflammation in the body can be associated with an elevated ESR.

An ESR is used as a diagnostic test to help determine the cause of symptoms present in a particular individual.

So, it will be better to consult your General Physician.

Appropriate management steps will be taken based on complete history, physical examination & co-relating the findings with investigation reports.

Hope I have been able to answer your query.

Please let me know if I need to clarify further.

Wishing you a Good Health.

Thanks & take care.

---