Conversation: The conversation between human and AI assistant.
[|Human|] Hello. I am a 65 year old woman who is active, 30 lbs. overweight and relatively healthy. Over the past 6 months my shoulders, elbows, hips, wrists and thumb joints have begun to have pain to the point that now I am in extreme pain most of the time. Even difficult to stand due to the pain in my left hip. This has come on so fast, I m not sure it could be arthritis.. ?
[|AI|]  Hello, Pain in multiple joints of the body may be due to inflammatory arthritis such as rheumatoid arthritis.  Other reason may be: 1. Osteoporosis with weakened bones 2. Osteoarthritis. Detailed clinical examination is needed to assess exact cause. X-ray of both shoulder and knee joints anteroposterior and lateral views should be done. Serum testing for RA factor, serum calcium, serum phosphorus and alkaline phosphatase levels should be done.Meanwhile, start tab Attract P twice a day for pain relief.  Hope I have answered your query. Let me know if I can assist you further.