Conversation: The conversation between human and AI assistant.
[|Human|] I have idiopathic neutropenia. The oncologist thinks it may be auto immune because it responded well to steroids. My BP is 88/40 and my body temp stays around 65. I am 42 and started having physical decline after birth of my first baby when I was 35. Ive been to a specialist, 2 bone marrow biopsies and am part of a wait and see study for pre luekemia and pre lymphoma. I had my gallbladder out in 2011, and have had chronic diarrhea that is yellow ever since. When I eat, I feel like a rock is in my abdomen and it wont go down. When I take digestive enzymes, it seems to lesson the pain. Without the enzymes, I get attacks that feel like what they told me were gallbladder attacks. Ive had endoscopy by GI doctor who said he didnt see anything. Have many physical ailments-dishydrosis in the hands, afternoon fatigue and headaches, tinnitus in right ear, mouth sores, and menstrual issues. Last year, from Feb 14 to Mar 15 I bled heavily, slowed and stopped when OBGYN prescribed progesterone. Had menstrual only 4 times last year. OBGYN did uterine biopsy and pap, everything ok on tests. My family doctor and other doctors tell me something is wrong, they dont have any answers. After running weekly blood tests to monitor for several months and 2 bone marrow biopsys and all the other tests, Im just tired. I stopped the blood tests.  I have an appt in Feb with an Endocrinologist, my FP requested testing me for Addisons to rule it out. Have 4 and 6 year who deserve a mother who isnt resting or feeling bad so often. Any ideas or suggestions?
[|AI|]  Thank you for the question. For your multitude problems you have already undergone several investigations and no positive finding apart from neutropenia which responds to steroids. So take prednisone 5 mg TDS for 2 weeks and gradually taper to 5 mg once a day for another week. Get complete blood count before and after a course. Take email(amitriptyline) 25 mg BD for 3 weeks and take nutritious diet, more of fruits and vegetables and high fiber diets. Take Isabel (natural) powder 2 SF with mid after dinner every day rest assured there is nothing seriously wrong, and you will be alright if you follow the advice