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

### input:
I BELEIVE I HAVE AN INTESTINAL WORM INFESTATION MY SYMPTONS ARE AS FOLLOWS,I HAVE HAD THESE SYMPTONS ON AND OFF FOR AROUND 10 YEARS 1.OFTEN CONSTANT VERY  BAD SMELLING GAS 2.DAILY BOUTS OF DIAHORHEA 3 SEVRE WEIGHT LOSS PARTICULARILLY N THE PAST 6 MONTHS 4.PAINFULL,SOMETIMES SHARP ABDOMEN PAINS 5.5SEVRE LETHARGY AND TIREDNESS (IM 34) 6.A LARGE SWELLING ON MY ANAL ENTRANCE 7.DEPRESSION,NO MOTIVATION 8.YELLOWING EYE-WHITES 9.COPPER SMELL TO MY BLOOD 9.BURNING PAIN WHEN PASSING EXCREMENT  10.PAINFULLY THIN,AND GETTING THINER 11.HORRENDOUS BREATH 12.UNABLE TO MAINTAIN AN ERECTION FOR LONG 13.AUDIBLE MOVEMENTS IN MY STOMACH AREA OFTEN 14.ITCHY RASHES ON MY ARMS/legs AND BUTTOCKS I WOULD GREATLY APPRECIATE YOUR OPINION ON THIS MATTER,I LIVE IN A VERY POOR AREA IN LONDON AND THE LOCAL DOCTORS ARE NOT WELL TRAINED AND WILL NOT TAKE MY CONDITION SERIOUSLY . I AM 6FT 3INCHES AND WEIGH 10 STONE,IM 34. DAMION MCLEAN

### output:

Hello, Welcome to Chat Doctor. I have read your all the symptoms form 1 to 14 and here i my suggestions to you. All these symptoms should be further evaluated by complete clinical examination and various tests. If you want to rule out any intestinal worm infestations then you will need to undergo routine blood works, ESR,blood electrolytes, urinalysis and stool examination for routine microscopy, ova and cyst. For which you can go to some nearby pathology laboratory or visit physician who may order all this tests.