Conversation: The conversation between human and AI assistant.
[|Human|] My name is Tamara.  I am a 32 year old white female with class V membraneous lupus nephritis.  I also have multiple comorbidities including compartment syndrome in my lower extremeties with gross edema.  Recently, I have had boughts of severe swelling that results in massive water retention, to the extent of 40 pounds gained in less than a month.  While kidney function is fine during this increase and I can eventually pull off the fluid with crazy diuretic therapy, after the output, it seems that all of my muscles from mid calf to ankle are now hardened and very tender to touch.  I have waited several weeks in the hopes that the tissue would return to normal, but no avail.  What could have caused this, what condition is this called, and is there any way to reverse this as it is very painful (I doubt there is in my experience *I am an RN whos specialty is Renal Transplant/Nephrology* ).  Any information regarding this would be very much appreciated so that I can continue on this side.  That you!  Tamara.
[|AI|]  Hi, Thank you for choosing Chat Doctor, Look mam you have pretty tough condition in the sense of medical ground, in my opinion such case needs team work, this could be chronic nephritis, I personally ask lots of investigations to come online of treatment and to know the prognosis, without this, it is not possible to come on any decision, you batter have words with your treating Doctor, meanwhile cut down the salt,take care of your self, Have nice day