question: My ESR rate is 33mm/hr and I m a 29yr old female, and I ve been having joint and bone pains every day from my shoulders down to my fingers and toes. I ve also been developing puffy bags under my eyes that don t go away and dry scratchy eyes that especially bother me in sunlight or glare. My lips also are gradually getting larger, and my facial features are changing in general. What could be the reason?