### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, I am an 18 year old female. I have excessively sweaty armits and both my lymph nodes sell and get sore for several days at a time. My joints ache badly. My knees, my elbows, my hips. All of my joints crack and pop constantly. My back cracks and constantly hurts as does my neck. My feet are almost always purple and cold. I often get the sensation in my feet like they have been asleep and the circulation is just returning. Sometimes they burn. When I throw or do certain things I get a terrible shocking pain in my elbows. I have chest pain often and shortness of breath. I feel my heart beat sometimes and it will skip a beat and it just isnt rythmatic. I am concerned for I am so young and I am afraid I will end up in a wheelchair before I am forty. I do not have medical insurance but I plan to consult with the dhhr for something so that I wont be charged to get help. My first cousin was recently diagnosed with lupus. I know that this is genetic. Couldvthis be whats wrong with me?

### output:

Thanks for your question on Chat Doctor. I can understand your concern.You're all symptoms are more suggestive of stress and anxiety because of the fear of lupus. But better to first rule out heart diseases and lupus. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about heart diseases. Also get done ANA (anti-nuclear antibodies) profile to rule out lupus and other connective tissue diseases (CTD). If ANA is also normal then no need to worry about lupus. Consult psychiatrist for counseling sessions. You can, may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.