Conversation: The conversation between human and AI assistant.
[|Human|] I broke out in hives all over in August and had diminished lung capacity. I was hospitalized for a week and given massive doses of IV steroids. After discharge I was still extremely ill with shortness of breath, week muscles, body aches, and my fingers and toes made involuntary movements that felt like they were sliding out of joint. My eyes would close by themeslves. I had a facial tick as well. Since that time I still have muscle aches and sharp pains in my legs. I have small nodules in one lung and I suffer from fatigue. Some days I just feel bad. Recently I can feel the tick starting in my face again. I have blurred vision and can not control my bladder. My bowel movements have become more frequent and changed in texture. My blood work showes Sjogrens Syndrom but the lip biopsy was negative. I had one positive Lupus test and one negative. I am tired of being tired. I also have occassional tingling in my toes and fingers. Any heop will be greatly appreciated.
[|AI|]  Hello, Your symptoms could be related to peripheral neuropathy. For this reason, I would recommend consulting with a neurologist and performing nerve conduction studies.  Some other blood lab tests (PCR, ESR, thyroid hormone levels, blood electrolytes, vitamin B12 plasma levels and vitamin D plasma levels for possible deficiency). You should discuss with your doctor on the above tests.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.