Conversation: The conversation between human and AI assistant.
[|Human|] I have had abdominal and back cramping for about 3 to 4 weeks now nonstop 24 hours a day. Being perimenipausal thinking I would start my period.however today s cramps in the abdominal and lower back area are severe on a scale of 1 to 10 I feel like there are eight and I m looking to see what they might be symptoms of
[|AI|]  Spain in women of your age can be caused both by gynecological problems like fibroid or growth of uterine tissue in abnormal areas and non-gynecological problems like inflammation of the colon or tumor of the colon. This kind of problems need consultation with your gynecologist. He/She might want to have an ultrasound abdomen that might help to rule out in or out these problems. These problems can result in back pain along with pain abdomen. Best of luck.