Conversation: The conversation between human and AI assistant.
[|Human|] I have a continuous pain for more than 4 years today on my upper abdomen left side under the ribs.  some times it murmurs.  When i eat sometimes my stomach murmurs too.  Sometimes from that left side i get some shape feeling as if it were ligthening. this one is rare. it happens mostly when i bend down mostly during the pain.  What is it Doctor?
[|AI|]  HI. Thanks for your query and an elucidated history. The symptoms of 4 years of pain on left upper abdomen, like a murmur and enhances after bending is suggestive of a subacute intestinal obstruction. I would suggest you the following:X-ray in standing position is the simplest and the cheapest way to get a correct diagnosis. Enterocolitis will be the best investigations as it will tell us the nature, site, size and other associated changes. Plan: for investigations and surgery if indicated.