<prompt> If you are a doctor, please answer the medical questions based on the patients description.i am 54 years old men. my haemoglobin range is 7.5 esr is 120.my bone marrow other investigation done.i have fatty liver enlarge spleen.other wise all the report was allright.ocationaly haemoglobin range fall down.and esr level is always high.so what can i do.  <response>: Hi, Welcome and thanks for asking. Low hemoglobin and high ESR suggests a definite chronic inflammation. Common causes include multiple myeloma and tuberculosis. As bone marrow is already investigated, other investigations are required as follows:1. C-reactive protein levels2. Screening for antibodies - ANA3. Type of anemia - and 7.5 is low at this age and needs to be aggressively treated. Further followup can be done after investigations. Any further query, happy to help again. 