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

### input:
My health back ground. Im 33.male nurse. DX at age twenty with crohns, had three bowel resctions six bowel obstructions, three ID rectal abcess acute kidney failure at age 32 for two weeks, still dont know why, went back to normal with no treatment 2 weeks later. , age 28 with lupus anticouglant factor 10 after having lower right l;eg dvt and PE in both lungs. Started on coumadin. Stopped coumadin after seeing hemotoligst 18 months ago. and my factor 10 results were back tp normal. two weeks ago i woke up one morning to having my entire right hand swollen and no feeling to the hand and fingers. I could not move fingers and no sensation anywhere in the hand past the wrist . Went to the Er. They did and Ultrasound and it came back normal. A eurologist came in and told me that i needed to be admitted for further test. On that same day they did two ultrasounds, two mris to both right arm hand and wrist all came back normal. As the day went on, pain become to be intense in my hand, but couldnt move my fingers nor move my wrist. When they moved them It hurt very bad. The next day, a ortho hand doc talked to me about few opyopns. 1. Do a cortisone injection into carpal tendon to see if it would help my symptoms or just go ahead with carpal tunnel surgery. my third option to do an angiogram to see if we are missing a small clot even though all test were neg so far. I decided to do the angio due to my history, then to everyones suprise the dye could not move past my arteries into my arm that go to my hand. My ateries were collapsed. They did inject three rounds of nitrogylverine. The opned but collapsed right back. They stated me on two b/p meds to see if it would help. Nifedpine and isotop. The next morning i had some sensation. :ot of sharp achy pain but everyday it got better, But now they need to see why this all happened. They want to test me now for Lupus, RA, Ryndom syndrome. Now yesterday my entire right leg from my thigh down to my feet went completely numb. I was in a chair no longer then ten minutes. The symptom went away after about six minutes. What are ur thoughts. I see my family doc tomm, thena Ruemotlogist monday.

### output:

Hi, I understand your concern. From the history you have presented, I feel you have been suffering from a chronic autoimmune rheumatic disorder involving musculoskeletal system, joints, vessels and nerves. The Chat Doctor.  I would suggest you to immediately see a Rheumatologist and follow whatever treatment he or she suggests. You may even need some physiotherapy and exercises to maintain your limbs movement and sensations.This kind of rheumatic disorders persist for a lifetime, but can be definitely controlled if you remain careful and strict about your health. Hence, my suggestion to you would be to keep a check on your health, continue the medications, maintain proper lifestyle, follow physiotherapy, do exercises and persist on a life-long therapy as suggested by the rheumatologist to prevent recurrences of the symptoms. Wish you a healthy life. Hope you recover soon. And do write to us whenever you feel that you need our help.