<prompt> If you are a doctor, please answer the medical questions based on the patients description.HELO SIR I M 46 YR FEMALE I HVE COUGHING PROBLM AFTER TKING PRONLED MADICATION OF STRONG ANTIBIOTIC CLAVUM IN AND HAVE CONTINOUS FEVER IN BETWEEN IT GETS ALRIGHT BT AGAIN IT REAPPAERS I HAD BALLONING AS I WAS SUFFERING FROM HEART DISEASE IN 2000 AND MOST OF THE TIME MY ESR IS RAISED A LOT  <response>: Hello I read your question and i would like to help you. High values of ESR indicate an inflammatory situation of your body. Antibiotic use usually after the treatment the ESR low down till in the normal values. If it does not normalize despite the right medication it is necessary to do some other blood tests to see if there is an autoimmune disease or other cause that not allow the ESR to normalize. For example:ANA, ANCA, RF, CEA, Hole blood count, CRP,Ca 125. So my opinion is better to consult a GP after all. Thank you I wish you good health 