<s>[INST] Hi, Doctor, My wife, Mrs. Rajni, 48 yrs, wt.-65 Kgs. Ht.-63 Inch, Vegetarian. DOB-10.10.1966, two children-27 yrs and 23 yrs (female and male) has left kidny ectopic (out of cage, placed little down and moved towards abdomen. 10 yrs. back the investigations revealed that ectopic kidney is slightly smaller in size but functioning normal. At present she is suffering from joint pain and swelling at face and limbs. She is operated for Uterus, one overy and gallbladder removed. she takes undes under noted medicines- Tab. amlovas AT 1xod, Eltroxin-100 mg 1xod, shelcal-500 mg 1xod and Uricostat-40 1xhs. Please advise at my YYYY@YYYY my cell no.-0000 [/INST] HiI may suggest complete urine test,GFR,serum creatine,and arthritis profile.Also serum proteins levels,LFTSwelling over limbs may be water retention or oedema ,reason could be kidneys or liver.I may suggest mild diuretics like stride once a day, restriction of salt, measurements of BP.For joint pains, naproxen tabs twice a day after meals.Also TSH level should be done to regulate dose of eltroxinThanks </s>