Conversation: The conversation between human and AI assistant.
[|Human|] Doctor, I have had shortness of breath for two years. No one has found any reason why. I also have Hashimoto s Thyroiditis and Fibromyalgia. My D.O. found that I was anemic last year as well. He also found that I tested positive on an Anti-DNA test. He went on to test me for Anti-SM and Anti-Ro as well as for proteins in the urine. These three tests were negative. I kind of gave up on finding out what was wrong and just decided to live with it. However, I am concerned about the chronic shortness of breath as well as a new disturbing symptom. Two days ago, I woke up with severe lower back pain. It has not abated. I have made an appointment with my D.O, but it s not for another 3 weeks. I ve searched online and put the symptoms mentioned above through a Symptom Tracker. The thing that keeps coming up in response is Multiple Myeloma. This is really scaring me. I am only 43. I have two small children, ages 3 and 7. I do not want to have Multiple Myeloma. Also, The Anti-DNA result still means the jury is not out on Lupus, right? Could it be Lupus? Does Lupus cause lower back pain and Dyspnea? Does Lupus frequently occur with Multiple Myeloma? Do you think I might have Multiple Myeloma? Thanks, Andrea S.
[|AI|]  Dear Friend, Thanks for sharing your question. Following possibilities can explain your dyspnea: (1) Anemia (2) Lupus. Lupus can cause it by different mechanisms. You need to do X-Ray, Lung Function Test and HRCT to diff the same. Are u hypertensive also? There is nothing in your history (except backache) and investigations s/o Myeloma. You should also work up for other manifestations of Lupus. Hope I could add Chat Doctor.