instruction: hello doctor I am suffering from low platelet count low hemoglobin burning back pain shoulder pain arm pain forearm pain breathing problems abdominal pain morning stiffness foot and hand pain I feel tired eyes pain and burning headache pallor and frequent urination my burning pain in the back gets worse while doing some household activities can you please help me with what is going on with me I am currently taking naproxen 250 vitamin b12 injection and vitamin do capsule
output: hello the shoulder pain arm pain like symptoms could be because of low vitamin b12 levels so you can complete the course of b12 injection for breathing issue however you need to investigate with spirometry and chest ray additionally I have observed that your hemoglobin level and platelet counts are low persistently for the past two to three months so kindly consult a nearby hematologist for a detailed evaluation of low platelet count some autoimmune thrombocytopenia like cause needs to be searched as per provided history for that primarily ana antinuclear antibody investigation has to be done I hope this helps