Conversation: The conversation between human and AI assistant.
[|Human|] Hi, Last Friday I started with a pain in my left hand side just under my rib cage. It got worse and Sunday it was spreading round from my rib cage to my spine . I got prescribed Tramadol and ibuprofen and have been referred for an ultrasound . It has got steadily worse, it is now a band of pain on my left hand side with some numbness & tingly sensations on my abdomen. Any suggestion of what it could be and what I can do to relieve the pain and discomfort?
[|AI|]  Hi, Thanks for posting your query. Do you have acidic belching/ abdominal bloating/ nausea and vomiting/ excessive flatulence/ fever/ watery diarrhea/ constipation? Do you have burning urination/ increased frequency of urination? Do you have localized skin lesions in affected area? With the available described symptoms, there could be possibility of Skin pathology causing dermatome pain. Presence of numbness and tingling sensation is a skin disease sign and symptom. You should consult with internal medicine specialist/ dermatologist and should go for thorough check up. You should also go for x-ray abdomen, serum amylase and lipase, endoscopy. Treatment depends on exact diagnosis. Meanwhile, you should continue tramadol and ibuprofen as prescribed by your treating doctor. Take care,