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

### input:
Im a 13 year old female. I have had pains although my body for 2 years. I would rate the pain 7/10. The pains are in my joints, but sometimes muscles. They mostly occurred in my feet and legs, but also my arms and back. The pains have slowly got worse. They occur everyday. Everything about them is random. They always change. Pains happen when walking, running, jumping etc but also sometimes when sitting down. Lately I feel like my left arm is very weak, (I m right handed) and hurts when I use they muscle. I also find that roughly where my large intestine is and under my ribs gets pain sometimes. I have glasses for things at school like reading or on my ipad or looking for desk to board because my eyes have trouble focusing, don t know if related. I sit out on most pe lessons because I just can t join in. Mostly I just try to deal with it. Sometimes I have to limp. Right now while typing this, under my wrist it hurts. I am not using it at all. The doctor has gave me supplements because I have some vitamin deficients. I also have orthotics because I have flat feet. I have been wearing them for 3 months and these is no improvement at all. I have been taking the supplements for 2 months and still no improvements. I have had blood tests, and they only show iron deficient and nothing at all for arthritis. I don t know how to discribe the sort pain but I would say aching. But the type of pain all ways changes. I was wondering if it could be something like nerve pain. Sometimes I also get tingling fingers and sometimes toes. My fingers get numb when easily. They go white then after about 10 mins they go purple then back to normal. I used to do netball and diving but have stopped because of pain. I have seen many doctors, specialists and no one knows anything. I have seen a peditrition, foot specialist, eye place for glasses, nutritionist and local doctors loads of times and nothing has helped. Please help and find an answer!!

### output:

HelloI have studied your case in detail. It seems you have iron deficiency anemia. This anemia is associated with aches and pains, pins and needles in hands, feet, fatigue,listlessness, weakness etc. cause is either loss in stools from bowels (in which case other deficiencies of calcium, vitamins co-exist) or in menses in girls or some chronic disease in body., or due to nutritional deficiency diet, since you have been to many doctors, I may suggest simple nutritional supplements with iron rich foods, green leafy vegetables, bands and pomegranate juices and oral supplements of iron pills after breakfast like ferrous fumarate spangles. Get stool examination done to identify any blood and iron loss, serum calcium and vitamin D levels, serum B12 deficiency (in pernicious anemia), consult a doctor who may get these tests done to find cause for iron and other vitamin deficiencies, rule out pernicious anemia, stomach acid qualitative and quantitative tests for chloral Chat Doctor. For aches and pains take Tylenol tabs best wishes