Conversation: The conversation between human and AI assistant.
[|Human|] Hello Doctor, My mother is 65+ years old. She had suffered from Acute Renal Failure about 4-5 years ago. She was on dialysis for a month & then recovered. She has also had a history of pitta (not aware of the medical term) - there is swelling like mosquito bite but bigger in size all over her body, followed by fever & complete inability to pass urine and then swelling all over her body. This happens mostly during the winters every year. She is also very sensitive to medicines, not all of them suit her. In case the medicine doesn t suit her, the first impact has always been on passing of urine. In such situations, our nephrologist normally recommends Dytor 40 & in case of infection, Cital syrup. Over the years, she has become very weak. She is barely able to stand & walk by herself. Q1 - Is there a was to prevent this situation? Q2 - From past 2-3 years, she has been constantly complaining of burning sensation. It started after the ARF. Initially the burning sensation was only limited to palms & soles. It has now gradually spread up to her thighs. She had undergone a fissure surgery 2 years ago. Since then the burning sensation is in her rectum too. She is also unable to pass stools for several days in a row, even if given laxatives. We have got this problem diagnosed from 3 surgeons, 4 physicians & our nephrologist. All of them thought that this was due to deficiency of vitamins in the body & accordingly prescribed medication. However, on getting blood & advanced blood tests done, we have found there to be no deficiency. The doctors now have asked us to not visit again (or visit once in six month) stating that it s psychological or it s not curable. We had also gone to a neurologist but his medicines had side effect on my mother & again she was hospitalized. Before hospitalization, he had asked us get some nerves test done but after the side effect episode, he said the problem is not curable as it s due to old age. I was going through some of the articles on the net & feel that her symptoms are similar to those mentioned for inflammation of nerves. I want to help my mother recover from these problems & lead a happy, healthy life. Please can you help. Thank you.
[|AI|]  Hi, Sad to know about these difficulties. I want to know if your mother also has concurrent Diabetes Mellitus? Secondly a few strategies can be attempted to reduce the swellings like check with your doctor whether a Chat Doctor.  Also get her coagulation profile checked, the thing you are calling pitta may be because of small multiple bleeds caused by minor trauma due to impaired coagulation ability in body (happens in kidney failure). Lastly give her all the advisable vitamins & mineral supplements & check whether a