instruction: hello doctor I am 36 years old I am a vegetarian and I weigh about 79 keg before three years due to stomach disturbance yellowish urine pain and some popup and cracker sound in my legs knee joints I visited a doctor and he suggests me lab test of liver function test and all reports in normal range except of sugar which was 138 at that time and gave me some medicines and referred to orthopedic for joint pain I have visited orthopedic specialist he took ray of both legs knees and tell that it is an early stage of osteoarthritis of knee and he suggested for mri and I had done mri in the mri report it is mentioned that left knee has affected with osteoarthritis after that he gave some medicines for 10 days and referred to a physiotherapist for exercise and weight loss I have visited as he told and now I reduce my weight now there is very little pain in my left knee but now my other joints hips joints like left hand thumb finger and both hand knees has popup sound during movement as I prefer stomach specialist consultation over orthopedic because I want to know the reason behind this situation and still I have slight yellowish urine kindly correlate all the reports related to the stomach liver arthritis and please diagnose my problem and suggest treatment for the same and suggest reports to do if needed
output: hello I had gone through your all reports nothing looks like alarming except slightly low vitamin levels for yellow urine I assure you it is totally insignificant as your all liver related test are normal including bilirubin level and fibroscan so do not go on chasing it I had seen doctor did all test which was very costly and not needed for your issues so more doctor you go more test they will do now coming to your popping sound from joints let me tell you it has nothing to do with stomach related issues if you are thinking of gas from the stomach causing this then forget it as it is not the cause hoping most of the time is a normal phenomenon when cartilage or ligaments rub against bone some percentage of person have osteoarthritis which can lead to this but alarming hoping is always with pain swelling redness and deformity in walking so chill I do not think you should worry about this thing unless the above symptoms present and at your age arthritis is very unlikely so my advice is to regularize your daily activities which include milk for vitamin in your diet do exercise of any kind for 45 minutes daily for stomach upset you can use syearup gaviscon two tablespoons whenever you get symptoms as it is safe and locally acting do not do doctors shopping