Conversation: The conversation between human and AI assistant.
[|Human|] Went to dentist Tue to get four fillings filled 3 white one silver one,I started getting itchy skin my knuckles or fingers started swelling it was like this for two day on 3rd night I awoke and could barely walk the heels of my feet hurt my elbow joints,shoulder joints and hands all had very sore joints which is today,my feet are better but my left shoulder hurts elbow and hands hurt and swollen.Any Ideas? Thanks. Mike
[|AI|]  Hi, Thanks for your query. Seems you are suffering from multiple joint pain -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