instruction: hello doctor I get frequently sick with joint and muscle pain and burning legs sometimes feel difficulty walking and climbing stairs I consulted a physical he tested ana and it came back positive but since ear and cop are normal he said no need to test further and I am perfectly healthy but my pain never subsided I cannot go to the office due to ac and joint pain it is affecting my work and quality of life due to frequent sickness and unable to do normal activities after consulting a rheumatologist he further tested ana profile and anti is dna that also came perfectly alright I am confused with my body why my joints are paining so much without any disease
output: hello I would like to ask you a few more queries is your sleep pattern normal do you have morning fatigue how long did the viral last any hair fall oral ulcers dry eyes or dry mouth any recent irritability or forgetfulness it more appears to be chronic fatigue syndrome which usually has a previous viral illness but let me know these queries and would guide you further