Conversation: The conversation between human and AI assistant.
[|Human|] last year my esr rate was 130, nd i hav a swere pain in chest ribs and upper back side..after using some herbal medicin it becomes 50. but now im feeling a tiredness in my arms with short activity like combing..sometimes a numbness in a small patch of body part. a fadness in vision.
[|AI|]  Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-TB with ?HIV with debility and fatigue. All these symptoms suggest Chronic with Acute TB lung. Possibility of HIV with secondary infections needs to be kept in mind while investigating the pain in chest in upper posterior region. Treatment-Investigate by AFB sputum with X-ray Chest with HIV testing. And treat the fever and chest pain accordingly from Physician. Hope this reply would help you to plan further treatment with your family and specialist doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS