Conversation: The conversation between human and AI assistant.
[|Human|] I have symptoms that I can t explain that come and go. First it starts out with slight shortness of breath, then my back starts hurting and I get poor circulation in my hands and feet that turn cold with purple discoloration. I get fatigue a lot. Could you please tell me what this is.
[|AI|]  Dear-thanks for using our service and will try to help you with my advice. Your back pain could be secondary to arthritis or pinch nerve. However, you are experiencing cold hands and purple discoloration which could be Maynard Phenomenon or Syn Chat Doctor. This is a symptom characterized by changes in the color of the fingers mostly purple or blue when exposed to cold or just having the hands down. This can be associated with Collagen disease or inflammatory joint disease. You are fatigued too, so I recommend you to have a checkup with your doctor with laboratory test that will evaluate collagen disease. This is an extensive workup that will help to determine the reason of your complaint. I hope that my advice has been helpful