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

### input:
My query is related to Fileria. Specifically, my wife has had the disease which manifested itself some 12 years ago. It strangely disappeared. Over the past year she has been experiencing different types of ailments with no particular diagnosis. From my own research it seems quite likely that a dormant or medially equivelent worm has begun to infect again, doing something to the lymphatic system causing 1. Pain in her reproductive region (swelling discovered through a synogrophy) 2. pain and thickening of her thigh 3. Nausea 4. Dizziness 5. Shaking involuntarily of her leg, 6. Swelling under her arm pits 7. profuse sweating at times of stress in particular (again under the arms), 8. exhaustion and fatigue  without exertion, 9. arthritic pain mobile throughout her body.

### output:

Hello, Thank you for the question and welcome to Chat Doctor ! I understand your concerns. In order to help you out I will need some more information about your wives health like was she treated the first time she was diagnosed with filariasis? Is she on any other medication? Has any test done for this condition? It is possible that her symptoms could be related to the chronic filariasis. Such chronic filariasis are usually amicrofilaria and thus not usually seen in blood smears. To diagnose it would need both tests-blood smear in Gains stain and PCR for malaria antigen to find if any are present. If diagnosed the treatment will be a course of albendazole/ivermectin or doxycycline based on test finding. Hope this helped. You can contact me for any future query. Take care!