<s>[INST] My friend has serious fatigue, has had two episodes of facial muscles going slack, lasting 2-3 minutes and has a rancid smell from her vagina...no other vaginal symptoms. She also has shortness of breath.  She has gone from healthy and vigorous to resting...cannot care for Grandchildren.  At the ER they focused on her heart...nothing significant.  Ideas??  No Dr. has diagnosed her. [/INST] Hi, she must be suffering from the geriatric problems like anemia, harmonal problems, leading to chronic urinary tract infection, then to fatigue. Short ness of breath in abscense of the cough may be due to gastric hyper acidity. So i advise you to show her to a geriatric specialist. If not available show her to physician . Thank you. </s>