Conversation: The conversation between human and AI assistant.
[|Human|] hi,  my name is rosalynn i am a 49 female.  ruptured my appendix 18months ago, after surgery i had an illius,  since have had cronic abdo pain, mix of toileting issues,  no appetie tireness, bone pain losted over 8kg in weight, had all sorts of test,  last being a test pill cam which broke up and cause my stomach to distend and my bowl to dilate, have maroon cloured stools,  all my gp will do is give ensure plus,  and told me its in head, its ruining my life cant work i am so week.
[|AI|]  Hi Rosalynn. Thanks for your query. Read and understood your history. To recapitulate:Female 49 - ruptured appendix 18 months ago - Claus - develop[ed chronic pain in abdomen since then. Changed bowel habits, no appetite - bone pain - lost 8 kg - maroon colored stools - tests done including the camera pill - starts the distension - bowel get dilated - GP gives ensure - feels it is in your head - can not work - weakness - ruining the life. I would advise you the following:First get an Enterocolitis (barium studies)done under fluoroscopy control to see the actual movement of the intestines, any obstruction, fistula formation, kinking and so on. The best way in such situation is to go for diagnostic Laparoscopy which will help in diagnosis and therapeutic work as it will be easy to cut the bands or release adhesions or releasing the kink and so on.