Conversation: The conversation between human and AI assistant.
[|Human|] I m having lower back pain it hurts when I stand, bend and walk very stiff in the morning and doing the day. The pain goes down my hips and my thigh and stop at my knees. sometimes my husband have to help me get out of bed and when I am sitting. I have alot of fatigue. I doesn t go away when I am at rest. I started taking presidone and indomethacin 50mg which was given to me for swellen in my right hand they thought was gout but it wasn t. I was tested for Lupus I don t have that either. My joints make noises when I move them epecially my knees and elbow. My eyes feel itchy and when I rub them they sound squeeky and they hurt sometimes I see purple colrs sometimes yellow. I m starting to see these light colored spots on my legs, arms and face what are these and can I get rid of them. I am going thru menopause havn t been tested have all the sysptoms. I am 45 years of age had a hysteromy in 1994 I only have one ovary. I had my appendix taking out in July 2011 and gallbladder in 1990 had some cyst in my breast had them removed doing the years. Had a heart Cath done for chest pain in 2010. I had a knot to appear out of no where on my forhead. I do have high blood pressure, High Choles. I feel better than I have in along time since I started taking the presidone and indomethacin 50 mg. Just taking a shower takes alot out of me. Please help I don t Have Health Insurance. When the doctor took out my appendix he told me I had a lot of pus and that I was a sick woman. The way he explained I was very lucky to come in to the ER when I did. I was on alot of anbotics excuse my spelling.
[|AI|]  Dear patient Extreme fatigue and multiple joint pains can be due to many causes 1. Severe anemia 2.  Hypothyroidism 3.  Rheumatoid arthritis considering your age. Out of this according to me severe anemia with low hemoglobin is more likely.  You need to be investigated with blood tests to confirm diagnosis which includes 1.  Complete blood counts 2.  Serum thyroid function test 3. RA factor level. Get this done from reputed laboratory asap. Visit expert physician with report.