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

### input:
yes I have been dionese with with hip-c  5-6 years ago .I was a heavy dreanker. my esoffic came loose from my stomic and I thought everthing was ok . but now I have lost 40 lb and I fell real bad . my body acks all the time.no energy .fell like staying in bed .no mucles .need  help before its to late.i have grandchildren that I need to see grow up;

### output:

Hi, I am sorry you feel like this. After reading what you have said I feel your symptoms could be from several causes. These could include1. Hepatitis C: This disease is currently curable in most patients if treated. If untreated it can cause scarring of the liver with time (called cirrhosis) and ultimately lead to complete loss of liver function (called "end stage liver disease"). Liver disease can cause the symptoms you have right now. An important complication of Hepatitis C is liver cancer. Your loss of weight makes me extremely concerned, and I recommend you see a Hepatologist (liver specialist) to rule out an underlying cancer. 2. Anemia: Hepatitis C, age and other factors can cause anemia. If untreated and severe it can cause loss of energy and loss of appetite. The diagnosis is made using blood tests-these need to be ordered by a physician-so I would recommend seeing your primary care doctor at the earliest. Anemia is treatable, but the underlying cause needs to be figured out first3. Depression: Can cause many of the symptoms you are experiencing. Other symptoms include a lack of interest in things that you like and sleep disturbances. Symptoms can be treated with antidepressants and counseling. I would recommend seeing your primary care doctor first to determine if depression is the cause of your symptoms, and then he can either prescribe you medicines or refer you to a specialistSummarizing everything, I recommend you see either a primary care doctor (preferably) or a Hepatologist to get a thorough check-up and necessary tests to determine what is causing your symptoms. Meanwhile, healthy lifestyle changes like stopping alcohol, smoking, Chat Doctor. Please let me know if that was helpful. If it was, please take a moment to provide a rating. Thanks!