Conversation: The conversation between human and AI assistant.
[|Human|] Hi,  For the past couple of months I have had lower pelvic pain and discomfort including sharp ovarian pain, which has gradually got worse and now have a constant feeling of pressure in my bowel and always feel like I havent finished when using my bowels.  For the past two weeks I have had a constant ache in my lower abdomen and lower back just inside my coxic area, along with sharp intense pain in the right side of lower abdomen whicChatDoctores and goes but is there every day. It literally feels like something is pushing against my coxic bone.  If I insert my finger into my anus I can feel my cervix not far in.  I think I may have either cervic or bowel prolapse.  I am 45 yrs old and have had four children.  At my pap smear last year the nurse did say that my pelvic floor was extremely weak.
[|AI|]  HI. Gone through your history carefully and repeatedly.IT occurs to me that you are suffering for a couple of months and has worsened over last 2 weeks. You also have a complaint of feeling of incomplete evacuation of bowel and other problems you have mentioned. IF all the problems are put together in an order to come to a clinical diagnosis, I would think of Pelvic inflammatory disease / inflammatory bowel disease. Anything of this may be a primary reason. I would suggest you to consult a Castro Surgeon to undergo clinical evaluation and also further investigations like endoscopies/ CT scan and whatever He may feel necessary. He may also seek a second opinion of a Gynecologist. I think a proper diagnosis is most important to start a proper treatment and management. Please let us know the results of consultations and investigations.