Conversation: The conversation between human and AI assistant.
[|Human|] just got out of the hospital for shortness of breath usually w/ exertion. I went through extensive heart testing and breathing testing with no results except I failed the breathing test and could not finish it. I had a stroke 3 months ago and the shortness of breath started 7- 10 days before the stroke/ I have a PFO but the cardiologist said it was not big enough to cause these breathing symptoms. They are baffled and I can only walk about 25 yards before I am completely out of breath. I have a constant migraine headache on and off for 7 yrs but since my stroke (three months ago) it has never gone away with he pain being at a constant 6 and going as high as 9, I have also had constant side pain for 7 yrs as well that can take me to my knees. I also feel pain in my abdomen that continues to be sore for 3-6 days and then surface to my abdomen that feel mushy when it comes to the surface sore about 1 to 2 fingers wide but does not become open sores. They cant find an answer after 7 yrs. for any of this and it is continually getting worse. I am constantly exhausted and in pain now with shortness of breath is there an answer for this. A nuerologist told me I have every symptom for MS but no lesions, so no treatment for any of it except to keep me on Plavix aspirins
[|AI|]  Sir I would like to bring it to your knowledge, that a PFO has been regarded as a cause of both stroke (paradoxical embolic) and in many latest papers for migraine too (micromole), as you say if the work up for cardio and respiratory is done, we would rule that out for time being.  So work up for some systemic cause, anemia hypothyroidism, Addison and the list is extensive can be tried based on details history.  About Ms, just based on symptoms no specific treatment may be started as each treat mentioned has its own side effects.  Follow-up MRI if strong suspicion is all I recommend Regards