Conversation: The conversation between human and AI assistant.
[|Human|] Hello, Brief medical history, 29 years, male, fit exercise regularly and eat a healthy diet, bmi in the normal healthy range. Diagnosed hsv2+ 4 years, 16 months ago tick bite but no sign of red bullseye around infected area no fever etc, 14 months left knee pain had xray slight fluid under knee cap prescribed celebrex for antiinflame, been taking 1920mg dha fish oil in place of celebrex, now no pain in left knee but can feel and hear cracking in the joint whenever the knee is bent or locked straight feels like patella tracking. 3 months ago onset of lower back pain, no pain when walking or standing only sitting, bending or performing weight bearing exercises can be stiff and quite painful if overused but pain usually subsides with rest but pain is now always present. 2-3 weeks ago onset of dizziness, whenever standing from a lying position also had a couple of blackout episodes like a couple of seconds have passed without knowing it and feeling faint. 1-2 weeks I ve had a mole removed on my forehead due to possible skin cancer and another biopsyed, during this time and till now both hands feel somewhat numb like there s a weakness in both like I ve hit my funny bone if that makes any sense, on top of this most of my joints hands, wrist, feet, ankles, toes, shoulders crack all the time and feel like there re going to pop out, also have a dull ache right shoulder and now constant pain/dull ache in right knee not the left but feel a burning sensation in both but no signs of redness. Also been having some slight skin changes especially below my nose patches of inflamed skin accompanied by dryness. I m not on any medication only taking fish oil and 1000mg vitamin c per day. A lot of things going on not sure if they are all related possible outcomes Lyme s disease or autoimmune, RA or osteo (no family history of these two), nerve damage, infection, cancer? Kind regards Oh woke up today all the same issues now the skin under my left eyebrow is flaking (unusual)
[|AI|]  Hello, Causes for lower back and knee are:-Injury-Blunt trauma-Sprain or strain-Spondylosis-Spine-related problems-Improper posture-Overuse, running and cycle ringfence I would like to advise you the following:-You can take the tablet diclofenac. -Apply diclofenac gel or cream.-Apply ice locally. -Do x-ray and MRI back and knee region. -Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with orthopedics. Hope I have answered your query. Let me know if I can assist you further.