QR Code

Scan to Download

How to Reduce Erythrocyte Sedimentation Rate(ESR) Naturally?

Medically reviewed by Dr Rohan J Harsoda – MBBS, DNB(General Surgery)
Erythrocyte Sedimentation Rate (ESR) is a test that helps detect inflammation levels in the body. By observing how quickly red blood cells settle at the bottom of a test tube, we can gauge the extent of inflammation. High ESR readings may indicate serious medical conditions such as autoimmune diseases (e.g., rheumatoid arthritis, lupus), infections (e.g., pneumonia, tuberculosis), various cancers, heart disease, liver disease, and kidney disease. If your ESR is alarmingly high, it’s crucial to consult your doctor immediately to identify the cause and seek appropriate treatment.
However, the good news is that you can take control of inflammation and learn how to reduce ESR levels safely through simple lifestyle changes and a nutritious diet. This comprehensive guide outlines various methods you can incorporate into your daily routine to lower ESR levels and promote better health.

Factors Contributing to High ESR:

A multitude of factors can contribute to an elevated ESR test result, including:
  • Inflammatory and infectious diseases, either localized or systemic.
  • Tissue injury or ischemia, which refers to inadequate blood flow to a specific tissue.
  • Trauma.
  • Certain types of cancer, such as lymphoma and multiple myeloma.
  • Advanced age, as ESR levels tend to increase with age.
  • Pregnancy.
  • Anemia.
  • Kidney disease.
  • Diabetes.
  • Heart disease.
  • Blood or vascular disorders.
  • Vasculitis, which is inflammation of the blood vessels.
  • Obesity.
  • Thyroid disorders.
It is essential to note that exceptionally high ESR levels without any signs of inflammation may be indicative of cancerous tumors.

How to Reduce ESR

1. Lifestyle Changes

Regular Exercise and Physical Activity

Incorporating regular exercise into your daily routine can have numerous benefits, one of which is reducing inflammation. Engaging in both vigorous and moderate exercises, such as running, cycling, swimming, brisk walking, water aerobics, and yoga, can effectively combat inflammation. Aim for at least five days of exercise per week to promote a healthy inflammatory response.

Stress Management and Relaxation Techniques

Chronic stress can contribute to inflammation and elevated ESR levels. Implementing stress management techniques, such as meditation, deep breathing exercises, yoga, or mindfulness practices, can help reduce stress levels and improve overall well-being.

Adequate Sleep and Rest

Getting sufficient sleep and rest is crucial for maintaining optimal health and reducing inflammation. Aim for 7-8 hours of quality sleep each night. Establishing a regular sleep routine, creating a sleep-friendly environment, and engaging in relaxing activities before bedtime can promote restful sleep.

Quit Smoking

Smoking can exacerbate inflammation throughout the body, leading to higher ESR levels. Quitting smoking is not only beneficial for overall health but can also help lower ESR levels.

Avoid Excessive Alcohol

While the relationship between alcohol consumption and ESR is not fully understood, moderation is key. Light-to-moderate alcohol consumption may have anti-inflammatory effects, while excessive alcohol intake could be pro-inflammatory. If you consume alcohol, do so in moderation.

Stay Hydrated

While dehydration may not directly worsen inflammation, staying hydrated is essential to prevent muscle and bone damage, especially when engaging in exercises to reduce inflammation. Aim to drink at least 1 to 2 liters of water per day.

2. Healthy Diet and Nutrition

Maintaining a balanced diet is integral to promoting overall well-being and reducing ESR levels. Incorporate these anti-inflammatory foods into your diet:
Choose omega-3-rich fish like anchovies, sardines, salmon, and mackerel over others. There is evidence that these beneficial fats can reduce inflammation.
Berries are a great source of antioxidants, which can fight inflammation and oxidative stress. Think about including blueberries, blackberries, raspberries, and strawberries in your diet.
An excellent vegetable with built-in anti-inflammatory qualities is broccoli. In addition to being nutrient-dense, it also helps the body by lowering inflammation.
Due to their high antioxidant and vitamin C content, peppers are another excellent addition to a diet designed to reduce inflammation. Chilli peppers and bell peppers can both help to reduce inflammation.
Include mushrooms in your meals, including shiitake, portobello, and truffle varieties. They have a low calorie count but high in copper, a mineral known to help with inflammation.
Almonds and walnuts are two nuts that are full of good fats and make a great snack to help fight inflammation.
Green vegetables like lettuce and spinach should also be included because they are not only healthy but can also help to reduce inflammation in the body.

3. Natural Remedies


Turmeric, commonly used in Indian cuisine, contains curcumin, which acts as an anti-inflammatory agent. It inhibits the activation of inflammatory receptors in the body. Mix turmeric with milk and consume it before bedtime for better results in reducing ESR.

Green Tea

Green tea, known for its numerous health benefits, is rich in antioxidants and has shown promising results in reducing ESR levels. Consider adding various herbs to your green tea to enhance its nutritional value.

4. Ayurvedic Approach


Panchakarma measures, such as Vamana (therapeutic emesis), Virechana (therapeutic purgation), and Vasti (medicinal enemas), are highly beneficial in reducing ESR while addressing the underlying causes of inflammation. These treatments detoxify the body, flush away morbid doshas causing inflammation, and restore balance.


Rasayanas are herbs or formulations that enhance the quality and quantity of tissues, thereby boosting overall immunity. They act as disease-modifying and anti-aging agents. Rasayanas can effectively prevent diseases and help regulate ESR levels within normal limits.


Deepana treatment aims to correct sluggish agni (internal fire) and address digestive imbalances. Sluggish agni can lead to weak metabolism and improper digestion, causing systemic disorders and inflammatory diseases that often result in elevated ESR levels.

5. Medical Treatments for ESR Reduction

If lifestyle changes and natural remedies are insufficient, medical treatments like Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), Corticosteroids, Disease-Modifying Antirheumatic Drugs (DMARDs), and Biological Response Modifiers may be considered. Always consult a healthcare professional for guidance and appropriate treatment.

Final Thoughts

If your ESR levels are high, it’s essential to consult your doctor to identify the cause and explore treatment options. Treatment might involve addressing the underlying medical condition or making lifestyle changes to reduce ESR. Additional tests, including a second ESR test, may be ordered to pinpoint the specific cause of inflammation. Health-e provides a digital health locker to track your medical reports conveniently. Monitoring ESR levels during treatment and staying up to date with your reports can help assess the effectiveness of the treatments for underlying conditions.

Download Health-e NOW
Jigar Patel is the Founder of Health-e, a HealthTech app that simplifies health records management along with providing personalized and preventative healthcare solutions. Although he has 20+ years of operations and management experience in the EPC domain, Jigar’s true passion lies in making healthcare simpler, faster and more accessible for doctors and patients alike. He strongly believes that people need to be empowered to participate in their own healthcare and is constantly thinking of ways to build this into his app. He loves to keep things simple be it in life, product design, his work or the content he develops. Being married for 10 years and having 2 kids have taught him that perspective matters, so you can always count on him to share new perspectives on various topics.