<s>[INST] Hello, am 45 year old mother of 4, have suffered with upper back pain for years( 4 months ago I went to doctor with pain in collar bone and pains in chest and down both arms, Was told it was infection of chest muscles, last few days have been getting progressively sicker, pain in collar bone both sides, swollen glands in neck , sore throat , aching arms ,burning  hands, sore ribcage, headache, pain all over my body when I walk, have never felt so sick, is it very bad flu? Can you help, many thanks [/INST] Welcome at Chat Doctor I have gone through your query and being your physician I completely understand your health concerns. For how long you're suffering from it? Any other associated problem? Like diabetes or hypertension? Any history of TB in past or exposure to TB? Are u running fever? Any other lymph node swelling in your body?  It is difficult to diagnose without actually examining the patient. You need proper examination and investigations in order to make accurate diagnosis. If I am your attending physician I will get your FBC ESR CRP chest X-ray as well as throat swabs and blood culture.  In the light of these investigations I will be able to offer you any treatment. Differentials include either acute pharyngitis, laryngitis, sinusitis as well as Reactivation of TB. you need to be examined properly meet your doctor Meanwhile stay calm and use acetaminophen to relieve pain Get well soon Hope your query is adequately ad Chat Doctor.  </s>