Conversation: The conversation between human and AI assistant.
[|Human|] I am a 40 year old female with diabetes and a history of gastric ulcers and chronic pancreatitis. I have been experiancing severe abdominal pain lasting for over 2 weeks. I have been severely nauseated but have not thrown up. Nasea is worse when I am laying down. The pain tends to go straight into my back. I have also been experiencing severe gas as well as alternating bouts of constipation and diarhea. The pain is constant but tends to become worse after eating or drinking. I had emergency surgery on my pancreas 5 years ago. I have a strong family history of various types of cancer. My physician tends not to acknowledge my problem when I tell him or takes routine blood an urine that comes up negative for infections< although my last urine sample did reveal small trace of protien. Any suggestions what may be causing this?
[|AI|]  Hi. Thanks for your query. Gone through your history. Since you are a known patient of pancreatitis, ulcers and diabetes with a history of surgery on pancreas, the probable reason for your symptoms is pancreatitis. I would suggest the following:Contrast enhanced CT scan / MRCP to see the present-day condition of the pancreas and related structures. Start taking or increase the dose of pancreatic enzyme supplements. ERCP will help to delineate the cause and may help by stenting the pancreatic duct to alleviate your symptoms.