Conversation: The conversation between human and AI assistant.
[|Human|] Hello Dri, I am having terrible & constant chills all over my body and down my feet. My right leg is often numb and experience severe pain. I find it difficult to walk & stand for short/long periods i.e 10 minutes. I  have to bend over a shopping cart to assist me while trying to do shopping. I have gone to several Dr. for this problem for about 1 year. Lots of medication but no ease to my pain. I am 66 years old and retired as a nutritionist. I am engaged in Seminars and work shops presentations. I find it quite difficult to carry out any assignments, even house chures.  I go to the Gym, Swimming and  I weigh 145LBS. I was just diagnosed with Type 2 diabetes. I do have stenosis of the Spine. I follow a balanced diet as mutch as I can.Please help me find a reason for my constant chills. Thank you kindly
[|AI|]  Hi, Based on your history you are suffering from type 2 diabetes, spinal canal stenosis and constant chills all over body which has to be evaluated. You need to consult family physician/Neurologist for same. History has to be elaborated, whether chills are associated with fever, any associated urinary symptoms or you meant to stay terrible neuralgic pain all over body and feeling of chilly sensation(that can be part of spinal canal stenosis or autonomic neuropathy). You need blood sugar test and control of sugar, urine microscopy and culture to rule out infection, thyroid profile to rule out hypothyroidism and nerve conduction study to rule out neuropathy. If everything under normal limits then hypothalami structural lesion to be ruled out. Hope this will help you. Regards Chat Doctor.