Conversation: The conversation between human and AI assistant.
[|Human|] Hi DrI am having severe pains tinling in my hands and fingers finding it hard to bend and starighten my toes and fingers. My fingers are is swollen, sensitive and painful to touch my limbs, hips, and feet painful swollen joints and water retention in my knees and ankles. Pain killers are not working.
[|AI|]  Hello, Your symptoms do not seem to be related to any neurological disorders. A connective tissue disorder (inflammation, arthritis) or other causes of increased fluid retention seem to be the cause of your complaints. For this reason, I recommend consulting with a rheumatologist for a physical exam and some tests (complete blood count, PCR, sedimentation rate, blood electrolytes, kidney and liver function tests, Rheumatoid factor, etcetera.). Cardiac ultrasound is necessary to examine your heart and exclude heart failure. The tingling is related to the extension of the skin and nerves due to swelling. Hope I have answered your query. Let me know if I can assist you further.