Conversation: The conversation between human and AI assistant.
[|Human|] I am wondering what could be wrong with my wife. She is having upper abdominal pain, in the center, and its fluctuating. One minute its ok, and the next its not. She is also experiancing nausea and its a lot worse when the pain comes. She is also having upper back pain. A few hours ago we did some heavy lifting of some furniture and she said her back hurt a little bit then, but thats normal for her. She then had some chips and salsa, which I shared with her, and then she had a turkey and mayo sandwich. 20 min later all of this started. She has taken pepto, Levsin, Zofran, and nothing is helping. Any ideas? BP and Pulse are normal and lung sounds are all clear.
[|AI|]  Hi. Thanks for your query and an elucidated history. I have read your wives history and understood Her problem. The causes of the pain in upper abdomen in a female patient. Nausea is common with any sort of problem of the abdomen is just an indication that something is not alright in the abdomen. The character of the pain which you explained is called spasmodic pains. This occurs in case of intestinal obstruction. Or some problem in the initial (proximal) part of small intestine. She also has a back-pain, you say, I would advise in such a patient the following:Standing X-ray of the abdomen. EnteroclysisUltrasonography of the whole abdomen to start with and confirmatory CT scan of the abdomen if something is positive. Relevant blood, urine and stool tests after a clinical examination The treatment will depend upon the final diagnosis.