instruction: hello doctor I am 36 years old I am a vegetarian before three years due to stomach disturbance yellowish urine pain and some popup and cracker sound in my legs and knee joints I visited a doctor and he suggest me for liver function test and all reports in normal range except for sugar which was 138 my dl at that time he gave some medicines and referred to an orthopedic for joint pain I visited an ortho specialist and he took an ray of both leg knees and tell that it is an early stage of osteoarthritis of knee and suggest for mri I had done an mri and in the report it is mentioned that the left knee has affected with osteoarthritis after that he give some medicines for 10 days and refers to a physiotherapist for exercise and weight loss I have visited as he told and I reduced my weight and now there is very little pain remain in my left knee but now my other joints hips joints both hand knee has popup sound when movement including neck jaws all have some very mild cracking and popping sound as there is no pain but as it seems to be taken care of in the next few years so I prefer to consult a specialist like ortho and gastro doctors still I did not found any reason behind my current health situation still I have yellowish urine kindly interpret all the reports
output: hello well I have gone through your history I would like to ask you a few more questions to confirm the probable diagnosis do you experience a lot of fatigue is the sleep pattern normal or is it disturbed any feelings of tiredness in the mornings after sleep also any history of recent irritability forgetfulness when you say stomach complaints does it mean loose stools or increased frequency of stools or constipation any history of weight loss I have gone through your reports most of them seem to be normal except for mild ana positive you are right that it all looks connected and we need to reach the diagnosis as management gets easier then