question: My wife, age 45years, has been having low grade fever during the day and around 101f at evening. Blood test shows high esr of 110, and chest xray shows slight patches.Breathlessness on activity. Although there is almost no cough, neither joint pain. She was having pain and itching while passing urine earlier. There is fatigue and weakness. Her gall bladder had been removed 15 years back, and there have been some complications regarding it.Recurrent and swelling around the gall bladder area.