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

### input:
Hi everyone. I am a Mom of a 4 year old girl and I am 30. Lately I have been experiencing or having a hard time gripping. My arms get tired easily. I am having a hard time to type fast. I ve also started to have this weird sound like my joints (ankles, knees, elbows, wrists, & shoulders) popping with slight movement. My shoulders felt stiff sometimes. My calves felt like I took a long run and they re slightly painful. I also noticed that my great toe nails are slightly brittle. A month ago I had a surgery. I had excision of bartholin cyst. I had anesthesia, the less invasive one as the anesthesiologist put it. I don t know if it has something to do with it, but I feel like it s an important detail to miss. I also had my daughter breast fed for 22 months. I never had issues with my physical activities before until recently. I never had history of sickness. Based on the last x-ray and blood tests I had prior to my surgery a month ago everything was normal. Your opinion will somehow help me and I will truly appreciate it. Sincerely, Youngladynextdoor

### output:

HIT hank you for asking ChatDoctorI have gone through your query with diligence. Reactive arthritis or post infectious arthritis is a possibility in your case. Blood routine including ESR, C reactive protein and Uric acid will be beneficial to find out the reasons. A swab test and culture from genital area will be helpful to rule out any infectious causes also. Calcium and vitamin D level also should be checked. NSAIDs, physiotherapy and exercises will be helpful to get relief from this. A consultation with a Rheumatologist is well appreciated. Let me know if anything is not clear. I am happy to help you. Thanks.