Conversation: The conversation between human and AI assistant.
[|Human|] I have been having joint pain for over a year now. First started in my left hip causing me to waken during the night. After a year I then added right elbow pain. Was first told it was hip bursitis then Dr added tennis elbow. Now, three months later I have added left elbow pain and shoulder pain and my limbs feel very tired and I am also tired much of the time. Any ideas?
[|AI|]  Hi, Thanks for your query. Repeated joint pains can be due to multiple causes at this age the commonest being poly arthralgia. Other causes can be rheumatoid arthritis, gout, inflammatory diseases like SHE, bursitis, fibromyalgia, etc. For proper diagnosis, some blood tests are advisable like- 1. Serum calcium levels.2. Serum Uric acid levels.3. RA factor4. ESR and CRP5. Serum Creatinine6. X-ray of affected joints. You need a thorough clinical examination followed by investigations under the guidance of an orthopedic. Till then for symptomatic relief, you can take over the counter analgesics, do hot fomentation and apply local analgesic gel on the affected areas. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care