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

### input:
I have been diagnosed with rheumatoid arthritis, fibromyalgia, & lupus(connective tissue disease) but my recent blood work doesnt show any flare ups active. Over the last year Ive aged years, Wont heal, at all, scar over scratches, dizzy all the time, at times, cant speak, and j truly feel like Im dying. The worst is the veins or arteries, showing all over body, especially hand and arms, the swelling, even between, knuckles , & horrific pain. I get constant kidney infections, extreme fatigue, weight gain, sleep apnea, narcolepsy among  other things for no apparent reason and they dont know whats wrong, my grandfather died of water on the brain and was mid diagnosed his whole life.y hands are purple/red and get high blood pressure frequently, desperate got help, my symptoms mimic so many illnesses

### output:

Hello ! Thank you for your query. Dear sir, Looking into your problem I think that probably all your symptoms can be attributed to Lupus at present. You didn't mention your age and tests positive on basis of which you were diagnosed having these illnesses. I advise you to immediately consult a rheumatologist to assess you for disease activity because you condition seems to be critically joint pains and fatigue can be because of lupus and additionally Rheumatoid arthritis plus fibromyalgia. Kidney infection in lupus patients requires immediate interventions .both routine blood tests like CBC, ESR,CRP Urine r/m and other specialized tests will be required for you as your thinks to be best. Your disease seems to be very active this time. Kindly get in touch with your doctor at earliest. Hope it helps you. Take care.