Conversation: The conversation between human and AI assistant.
[|Human|] I am 62 female with enlarged 16cm spleen with also type 2 diabetes, arthritis, asthma.  I currently take 16 tablets daily and would like a positive outlook for me in how my life will turn out.  I get tired very quickly and have difficulty walking due to hip and knee problems
[|AI|]  Hi, You have multiple problems including knee and hip arthritis which cause difficulty in walking. I suggest:1. Take painkillers when pain is severe.2. Start hip and knee muscle strengthening exercises.3. Use a cane while walking.4. Hot fomentation and local analgesic cream as and when required. 5. X-ray of the hip and knee joints to assess the severity. Go for DEXA bone scan to assess osteoporosis which is common in Diabetes.  Let me know the results for follow up. Hope I have answered your query. Let me know if I can assist you further.