Conversation: The conversation between human and AI assistant.
[|Human|] My abdomen has been distended for around six months.It looks as though I am 5 months pregnant. I am in no pain or discomfort. I am taking probiotics, milk thistle , and removing wheat, dairy, potatoes, tomatoes, and eggs from my diet. Nothing seems to be helping. Before I got the distended abdomen, I started getting soreness in an around my joints and fatigue . I am so tired that in the afternoon I want to take a nap. This is very unlike me. I went to my physician who ordered bloodwork to be done to rule out any serious problems. Everything is normal. I had a colonoscopy 3 years ago and I was perfectly normal. No diverticulosis .
[|AI|]  Hi, Thanks for posting your query. With the available described symptoms, there could be possibility of decreased gastrointestinal motility which may be caused by thyroid hormone deficiency. Hypothyroidism may also cause fatigue, tiredness and joint pains by increasing weight. You should again consult with your treating doctor or internal medicine specialist and should go for thorough check up. You should go for thyroid profile, if not gone previously. As such there appears to be the least chances of diverticulosis or any colonic pathology. You should consult with dietitian for dietary change advise. Meanwhile, you should continue exercise as much you can do. You should also take prokinetics and high energy supplements for correction of tiredness. Take care,