Conversation: The conversation between human and AI assistant.
[|Human|] I am a self employed, 48 year old black male.  At the age of 28 I started treatment for borderline hypertension.  Several years ago I developed diarriha which has stayed for months at a time broken only by a day or less. I also had bladder problems and urinated at least 4 time during sleep hours.  I have been feeling extremely ill for over 24 months. It started suddenly one day when I noted what felt like a tight band around my right wrist.  My hand would later became a bit numb, but that sensation would subside.  After a few weeks, the tight band sensation seemed to migrate up into my left elbow and the weakness continued.  After the elbow, the weakness moved up to my shoulder and caused what I can only describe as a nearly useless left arm.  it was very weakened and I was not able to lift or get much use from it.  This would go on to last for several weeks.  During this period I was bothered by the weakness, and assumed it was something of a pinched nerve.    However,since I am a right hander, I simply used that dominate hand while waiting for the issue with the left hand to subside.  The numbness in the left arm and hand lasted for more than two weeks.  Just as suddenly the arm issue had arrived it disappeared.  Nearly a month later the same numbness appeared to begin in my right arm.  But, after a few days of the tight band feeling on my wrist, it was gone.  Several days later, I began to feel what I described at the time as a slight twisting sensation in my left testicle.  That light sensation soon became a full blown twisting feeling in the right testicle and up into the lower right abdominal area.  On the second day, the pain in those areas was unbearable and I found myself in an emergency clinic.  I was advised to alternate ice and heat on my groin area. Since no swelling was observed I was told it was ok... given advil and sent home.  Over the course of the next several weeks I began to be extremely fatigued.  I could only function for approximately 2 hours in the early day.  No amount of sleep or rest changed that exhaustion.  The exhaustion was soon followed by what I would later come to describe as almost hourly hotflashes.   These hot flashes initially the hotflashes were in my face and shoulders.  However, they soon spread to my shoulders, chest, and arms.  Additionally, I began to feel very mentally slowed.  My memory was seemingly failing and my abilities to complete my normally routine tasks became a true challenge.  During these early days I was treated by my private doctor who advised me that I appeared yellowish... and might be anemic.  He also informed me that my prostate was very enlarged...Complete blood panels would come to show that I had high lymphocytes, low neutrophils, low platelets, low testosterone, lowered liver and kidney functioning.   Except for liver and kidney tests, These results would remain constant for the next two years testing each 60 days.  Additionally, the tests would show very low vitamin D and Potassium for the entire period. After exhausting my financial resources, I was left to seek care and answers at the local VA hospital.  After repeating the tests, the VA doctors continue to find those same results.  Throughout this period, I have experienced night sweat from light to extremely heavy.  The VA Doctors started tellng me there is no signs of lupis.  They say prolonged diarriha may be irritable bowel and the hot flashes and pain in my right testicle and right groin may be in my mind. In approximately May 2011, I began to experience painful nodes in my neck and under my chin.   Ocassionally, they would be swollen but most often just a bit painful.  This was soon followed by a loss or change in my vocal quality.   Soon, that same pain had spread to my upper chest just below the clavacles.  That was followed by pain and soft puffiness in the clavacle spaces.  Nothing can be felt there but soft puffy swelling... like a soft balloon on each side.   Additionally,  I have started having intense pain in my achilles tendons and hand tendons.The doctor ignores my thyroid questions because my TSH is within some expected ranges.  All tests are negative for infection however, I feel horrible. Although those statements about these issues being in my mind have eased since the discovery of the varicocele and hydrocele in my right testicle.  After nearly 18 months of the same complaints and symptoms... an ultra sound completed at my insistence would finally show the varicocele as cause of the pain. In August 2011, i was rushed to the hospital with a fever of 105 degrees.  No infection was found and the fever was listed as a fever of unknown origin.  After several IVs and a dose of potassium, I was sent home with a fever of 101.   Over the course of the next few months the following symptoms have come for differing durations: Nausea , vomitting , headaches,  strong abdominal pains, aching and painful joints (knees, elbows, wrists, ankles and shoulders. Additionally,  pain on the right side lower  back.  Sometimes my bones hurt, a sharp, shooting, electrical shock which starts in upper left chest and shoots to left knee.Please note that many of these symptoms seem to cycle in groups.   ie Headache with nausea and vomitting,  testicle pain with lower abomin pain, etc...   Cycles last for as little as 24 hours and as much as 4 weeks. This list of symptoms is not complete, as some were not included because they may not have repeated in over a month. After 2 years, multiple tests and several rounds of antbiotics, I remain sick and getting worse,with no idea of what is causing all these symptoms.   Can someone please give me information or point me in the right direction. Any information or guidance is very appreciated. Sent from T-Mobile G2 with Google
[|AI|]  Hello, You have a history of borderline hypertension, on & off numbness of the arms & hands, nausea, vomiting, headache, varicocele & HY Chat Doctor.  You are suggested to get physically examined for hypertension & get treated for it. Hypertension can be the root cause that triggers many of your symptoms.  Maintain a normal blood pressure level. You can do thin with the help of antihypertensive (calcium channel blockers, thiamine diuretics, Ace inhibitors, etc.) medications under a doctor. You can maintain it by regulating your diet. Avoid alcohol & addictions if any. Avoid red meat, trans fat, full-fat dairy, butter, etc. Since you have symptoms of nausea, abdominal discomfort, indigestion; get liver function tests done. A sick liver will cause fatigue, exhaustion & weakness. Get treated at the earliest. Take boiled homemade food. Take food that is easily digestible in small amounts 4-5 times a day, take veggies, soups, ORS & juice to keep yourself well HY