instruction: hello doctor my friend gets frequent fever and weak bone problems she is not able to gain weight and strong bones she belongs to a poor family though she has been visiting many ayurvedic homeopathic my no one is able to figure out the exact reason there might be chances of bone cancer she had already spent lots of money and now she is losing hope please help
output: hi it seems from what you have mentioned that your friend is a 30 year old lady with frequent episodes of fever and bone pain assuming that the bone problems you mentioned are bone pains at multiple locations if she is indeed only 70 labs then it is likely that she is cachexic this along with the frequent fevers gives us a major red flag for two serious conditions that she might have tuberculosis to or tumor anywhere in the body let us discuss these two possibilities tuberculosis is endemic and is more common than we think most individuals already have the bacteria in them and the disease occurs when their immunity reduces long standing low grade fevers loss of appetite and weight history of contact with someone who had active to and low socioeconomic living conditions are quite likely to cause to while to most commonly involves the lungs causing a chronic cough to can affect almost any system in the body one may have musculoskeletal to involving the spine joints and any of the bones if your friend bone pains are related to she should have pain at only a few locations in her body unless she is immunocompromised tumors or cancer anywhere in the body can cause loss of appetite and weight low grade fevers may occur in some tumors while the spread of tumor tissue to bones will lead to bone pains and pathological fractures tumors arising from the bones are a definite possibility finally besides to and tumors there are other rarer causes cachexia and bone pains these include nutritional deficiency disorders like osteomalacia hiv infection certain medications that reduce immunity etc it might be a good idea for her to take pictures of all the tests that she has undergone and also any rays or imaging that she may have got done till now you may upload these on this platform and we could discuss her issues further I understand she may be losing hope from any medical intervention and such disease related depression is quite common if she has consulted only ayurvedic doctors till now it may be prudent to take opinions from allopathic doctors it is quite possible that her diagnosis may have been missed lastly I would sincerely suggest that you take at least verbal consent from her before discussing the specifics of her case on this platform I hope this helps tuberculosis malignancy