Conversation: The conversation between human and AI assistant.
[|Human|] Hi doctor!!, I am 31 year ,male. I am having a pain at under right hand side of rib and also in middle of stomach since Dec-09. The pain resist their with regardless of eating or not eating of anything. I went through series of test but couldn t recovered uptill now. I was very slim before this pain and now i look like bloated n fatty. Honestly speaking i am fade up with this pain, this is killing me every day like a slow poison. I hope if any one can understand my problem and suggest something right cure for me, which i know is very difficult :( Please see below Diagnosis History which might helpful : 1. Blood sample test (Report Status: ALT= Normal, Hepatits B,C cerology = Negative, LTF = normal, full blood count = normal, Ferritine = low [suggested medicine Ferrous sulphate], S.BILI = normal) 2.Urine test (Report Status: normal) 3. Ultra sound (Report status: normal), 4. Barium follow through (Report status: Normal), 5. Gastroscopy (Report status: H-Pilori Bactaria Found, for treatment doctor has given me medication course for 2 weeks, of Lanzoprizol, amoxicillin and clarithromycin. After this course i gone through with another test i.e. faecal antigen test which results shows negative). 6. Colonoscopy test (Report Status = They found small rectal polyp, which they removed entirely ( Polyp patholoy result = Inflammatory polyp) 7 CT Scan = (Report status = mild fatty liver) 8.Capsule Endoscopy to investigate the iron deficiency ( Report Status = Isolated Ileocaecal inflammation and then they suspect for crohn s diseases ? or NSAID related ?. ( Medication suggested for Isolated Ileocaecal inflammation = PENTASA 500 mg course for nearly a month by consuming 8 capsule a day) 9. Small Bowel Enema (Results = No evidence of inflammtion or mucosal ulceration at terminal ileum) So far all the test which i gone through were unable to diagnois my problem which is causing pain. I can t sit properly because i am feeling unbearable pain in middle of stomach and due to this i can t concentrate on anything happening around me. My whole life is distrube and i can t enjoy any moment of my life..Help me please.....
[|AI|]  Thanks for your consultation at Chat Doctor!  I have gone thoroughly through your entire history and all the investigation that you have done do far.  To me most of the diseases have been ruled out with your investigations... But if you have got stressful life and altered bowel habits then you might be suffering from Irritable bowel syn Chat Doctor. .your attending physician will take appropriate through history and necessary examination in light of your investigations.  Second you should have done CT abdomen with pancreatic protocol to rule out recurrent pancreatitis... For time being if you are in stress and have sleep disturbances do take alprazolam .25 mg at night daily it will help relieve your symptoms.... Also meet a consultant of Internal Medicine too.  Hope your question has been answered appropriately.... If u still got any query feel free to ask... Regards