Conversation: The conversation between human and AI assistant.
[|Human|] Dear Doctor,This is Srinivas from Velachery, chennai.Recently from past 3-4 months I am going through the following list of symptoms.1) Frontal and Anal gas (burping), chest heaviness2) back pain 3) pain from knees to foot, and pulling sensation in feet4) joints pain (hands and legs)5) burning sensation near joints, palms and thighs skin 6) unexplained/ untried weight loss (68 to 64)In last 3-4 months I consulted Gastro/ Artho and Cardio, and also went through the below diagnostics procedures.> Master health check-up showed all fine, except Vit D and Vit B 12 deficiency> spine x-ray showed all fine> endoscopy showed all fine> ECG/ TMT/ Echo showed all fineEven after all these, I am facing all the symptoms, except my weight is constant at 64.Could you please tell me how I can proceed further? Whom I have consult next?I am confused whether to consult a general physician or ortho.Please give me your advice in the next step I can take.Thanks,Srinivas YYYY@YYYY
[|AI|]  Hello, I had gone through the case and found that first start the medication for Vitamin D3 and Vitamin B12 deficiency. Take Calcium twice a daily with Clairol once a week with milk for vitamin D. Take Meganeuron OD once a day for vitamin B12. If it is very low then take injectable Vitamin B12 5 doses on alternate day. For gas or indigestion take antacid before meal two times a day. You did not mention the hemoglobin report. If normal or less than go for TRBC, ferritin level. Further if you have any query then I will advise consulting the Rheumatologist super specialist doctor in Chennai. Hope you will find the answer of the query and do not worry, your problem will be solved. Thanks and Take care