Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am a 43 year old female whose hemoglobin has dropped 30 points. I have a poor appetite and have lost weight unintentionally. I am a type 2 diabetic with my blood sugar under control. I am extremely fatigued and have sore and achy muscles, especially in my shoulders. Switching a load of laundry tires me. I frequently feel a pain in my middle-lower back on the right side.I have had a chest x-ray, pelvic CT scan, gastroscopy and a colonoscopy with no answers to be found. Any idea what could be going on with my body?
[|AI|]  Hi, Welcome to Chat Doctor, You are having Diabetes type II under control, but your hemoglobin is low and symptoms are loss of appetite and weight loss which is unintentional and body ache. This is good that your blood sugar level, gastrostomy and colonoscopy and CT scan is normal. With available information in a diabetic female if there is no blood loss from GIT and in the periods?, then the cause of low hemoglobin is to be searched a study of peripheral smear would give type of anemia. You should also get Live and kidney functions as kidney disease causes low hemoglobin and any form of kidney failure needs to be ruled out. Such weight loss if kidney functions are normal then any form of malignancy is to be investigated with tumor markers, complete blood count and bone marrow examination to find out the cause. If investigated properly I am sure cause of such weight loss will be detected and can be treated accordingly. This should help you. Take care. Good Luck. Chat Doctor. D.