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

### input:
I have no health insurance and need to know if my symptoms warrant a trip to the ER. I am a 24 year old female and I Just moved to Prescott,AZ almost a month ago and am at a very I elevation. My symptoms are, very swollen and painful breast and nipples. All my joints and bones are beyond painful and stiff. I have noticed some swelling in my hands and haven t slept in 24 hours because of the pain, I have tried advil , hot baths, and even half a Vicodin and nothing touches it. I am also having a lot of asthma attacks and find my self waking up have to take heavy breaths like I was just running around. Originally these where slow onset about 2 weeks after being here but they hit me incredibly hard the last week. I keep waiting for it to go away but it just gets worse. Also I have celiacs , however I am religouse about my diet and haven t had ANYTHING with gluten in it for years. I am also having alot of dull, throbbing headaches.

### output:

The allergy asthma ad other problems slowly and slowly involves joints which is MIS diagnosed by arthritis if you have celiac disease you might be allergic to whole wheat proteins rather than gluten totally avoid wheat and wheat product snot take even gluten-free wheat you can get blood serum tested for food specific antibodies for wheat and other foods to rule out interference by other food yo can start twice-weekly dose of neotrextate tab methotrexate 2.5 mg twice a week this is immunosuppressant and I have used in my cases of asthma skin sinus and bone problems am still using and has got excellent results to prevent allergies in this dose and there are no side effects on long use others medicines can continue with this in painkillers avoid paracetamol broken dispirit dietary supplements as they increase the problem rather curing it