Conversation: The conversation between human and AI assistant.
[|Human|] hi im 42 and had endocarditis about 4 yrs ago since then my heart has never been the same. Once in a while i will still get chest pain. I have spidery looking veins on my upper chest. Within 1/2 hour of waking up every day i get swelling in my ankles but mostly really bad at the top of my shins right below my knees.
[|AI|]  Hello, this is most probably due to heart problems, you should get first echo, hemoglobin, kidney function test and serum albumin levels done to confirm the diagnosis and rule out other problem.  Also, get your BP tested. In treatment, you should have low salt diet and fluid including tea, juices restriction to less than 1.5 liters a day. Also, l, you can get tab Dy tor 10 mg half tab once a day in morning, prescribed from local doctor.