instruction: hello doctor I am a 31 year old male I am suffering from muscle pain for more than four years it has just become worse and I could not get a diagnosis until now it started as an ankle and calf pain four years ago and slowly progressed upward at present I experience severe bilateral pain in the calf muscles and ankle a bit lesser pain in the posterior thighs fluctuating back pain dull aching pain in posterior shoulder muscles I need a pain killer all the time as I cannot take the pain for an hour with out pain killers currently I am on tramadol for peptic ulcer issues I take nsaids my other symptoms include frequent neck stiffness especially during mornings frequents headaches pulsatile tinnitus and jaw pain usually accompanies headache I sleep for 14 hours and still feel tired I have frequent palpitation like panic attacks fatigue concentration issues lots of floaters tinnitus herd all my blood workups are normal except vitamin do which is low and my to was way high hence my doctor thought I am having diabetes even though my fbi ribs were normal he also thought it as diabetic neuropathy but my hba1c is normal and it does not explain the symptoms other than the leg pain all rays were normal mri of the lower back was normal bone scan is normal egg mav are normal doppler of extremities and heart are normal my life has become devastating it has hugely impacted my daily life I cannot work take care of my family or be a normal person for one day I have seen many doctors but all tests blood workups are normal what could be wrong with me how can I get myself diagnosed
output: hello I have gone through the complaints with chronic muscular pain fatigue to be your main symptoms do you have any urinary problems like pain during passing urine frequency urgency do you have any history of weakness in the muscles in the form of difficulty in walking climbing stairs and performing daily activity history of recurring fevers presence of lymph nodes memory problems unrefreshing sleep unexplained muscle pain and extreme exhaustion associated with all normal investigations go with a functional syndrome by name chronic fatigue syndrome or fibromyalgia