** 1. ESR reflects changes in plasma proteins, and is not diagnostic but suggestive of some ongoing pathology, [collagen disorder-rheumatoid arthritis] in your case. 2. Rheumatologists have long recognized that rheumatoid arthritis patients are at higher risk for [gastric issues], upper GI problems such as stomach ulcers and bleeding. PS. do consult with a Gastroenterologist for relevant examination and investigations [for IBD: inflammatory bowel disease] 3. In Ayurveda we consider Rheumatism under ‘AAM’ i.e. disease arising from/due to improper metabolism so treatment and Management is directed towards i. Expelling the already formed AAM, & methods to prevent further AAM formation [deepan/pachan ] ii.Presently, the medications used to treat most rheumatic diseases do not provide a cure, but rather limit the symptoms of the disease thus your line of treatment in Ayurveda will be ‘AAMVAAT CHIKITSA’: . Langhan: [fasting] .Tikta & Kshaya Aushadhi [Bitter & Pungent Herbs/Medicines] . Basti [Medicated Enema] . Shotha har Chikitsa [Anti inflammatory/anti dropsy drug]. .Avoid: urad dal, curd, fish, jaggery, milk, incompatible and heavy food, suppression of natural urges, anxiety, grief, outdoor activities when sky is covered with clouds, and cold wind. . Take: maize, horse gram, karela, dried ginger, garlic, ajwain,saunf, kali marich, saindhav lavan, hing, jeera, old ghee, lukewarm water, castor oil, light walking, sudation, warm clothes, garlic and ginger mixed butter milk.