### Patient: Doctor, I have been experiencing elbow cramps or spasms, feeling hot and cold, elbow weakness, cough, and lacrimation. What could be the problem?
### Doctor: Your symptoms are suggestive of histoplasmosis, which is a fungal infection caused by the inhalation of spores from bird or bat droppings. It can cause respiratory symptoms, fever, and muscle weakness including the muscles around the elbow joint. I would recommend some tests and imaging to confirm the diagnosis and start appropriate treatment.