Conversation: The conversation between human and AI assistant.
[|Human|] Hi, over the last few month I can feel there is something below my left lower(last) rib cage. Its not really a pain but is irritating me of the reason. It comes and goes.earlier i used to have bad stomoach quite often. I consulted a gastro recently and he suggested me IBS and prescribed med(riximin, ibset, anleo, inlosa). I have taken these med for over 20 days now; though the pain has releived a but but still i can feel there is something. My stomoach has relaxed now and my stool has stabled, about 3 times a day. I am stressed if there is anything serious. Please advise
[|AI|]  Hi, Thanks for your query. Firstly the pain under the left side of the rib cage may be due to Gastritis(Inflammation of the stomach). I advise would be to avoid spicy and greasy food. Prescribe proton pump inhibitors like omeprazole. A gastrostomy will help in the diagnosis. Secondly it may be due to pancreatitis(Inflammation of pancreas). Stop smoking and alcohol if any. Blood tests like serum amylase and lipase will help in the diagnosis. Thirdly kidney stones. X-ray of the PUB will help in the diagnosis. Antispasmodic for pain. Increased intake of water is advised. The size and site of the stone determines whether the treatment is medical or surgical. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care