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

### input:
Hi, I ve been diagnosed with pituitary gland tumor 3 months back, consulted with a gynecologist and she asked me to go for prolactin test which was 178ml then she asked me to go for MRI where 1.5*2mm tumor was found. since then i was taking caberlin 0.5mg twice a week for 1.5 month. Now my prolactin level is 0.37 and MRI is still have to be done. Now I am no longer taking caberlin but i feel very dizzy, light headed and blur vision all the time,acute knee pain and heel pain in left leg, my BP is also 90/60. few days back I consult an endocrinologist and asked me to start caberlin 0.25 again and start taking 500mg shecal twice a day with 60000 vitamin D once a week. its been 4 days taking all these medicines but feeling no good. please suggest what should i do? there is also little swelling on left leg feet. Regards aarti

### output:

Hello and welcome to Chat Doctor, The hormonal treatment (Berlin) has controlled the high prolactin levels. Dizziness, light headdress and blurring of the vision is occurring due to the pressure effects of the tumor. The tumor is compressing the optic nerves thus the blurring of vision. Further the tumor needs to be removed to remove the pressure symptoms. You need to consult a neurosurgeon for surgery. Vitamin D deficiency is associated with body pains. The pains that you are experiencing can be due to vitamin D deficiency. Your doctor has prescribed vitamin D so the symptoms due to its deficiency will disappear. Thanks and take care Chat Doctor. 