<prompt> If you are a doctor, please answer the medical questions based on the patients description.I am 41 years old, female with swollen joints to the point of pain and discomfort. My wrists are the worst. I have shortness of breath when I walk up the stairs or carry something a short distance. I have not taken any new medication nor have I eaten something different. This started a week ago and has progressively gotten worst. I am tired all of the time.  <response>: Hi Thanks for your query and Welcome to Chat Doctor. I am Chat Doctor. You have mentioned that you are currently having swelling in your joints with pain and ss of inflammation.Also, there is an associated shortness of breath, the total duration being 1 week. Can you please tell me which joints apart from wrist are involved? Also are there any ss of inflammation like local warmth, skin discoloration etc.? Do you have any associated stiffness when you get up in morningWhat medications do you routinely take and what has been your treatment history till now, including your past 