Conversation: The conversation between human and AI assistant.
[|Human|] I havepain in my abdoman and feel swelling inside my right side below my rib cage. I have had bad problems with having a bowel movement. I can feel the need to go but only minimal amount comes out and it feels like something blocking up inside of anus, No Pain No blood just swollen abdomen and tender in right side below rib cage. Noises coming from gut like growling stomac. Have had growling since 2002 when I had gastric by pass. kept weight off all these years until problem with bowels. Have put on 22 lbs in last two years. Lost 128 I am 59.
[|AI|]  Hi. Thanks for your question. You have a typical history of Gastric Bypass Surgery in 2002 and starting the growling since then. Now you have pain in right side of the abdomen and feeling of swelling under right rib cage. Feeling of blocking of something in the anus along with passage of small amount of feces. You also have borborygmi (noises in the abdomen), This indicated that the Colon on the affected side has some problems. This can be detected well by:CT scan of the abdomen and - Barium studies (Enterocolitis) and colonoscopy will diagnose the Problem and give perfect guideline for medical and / or surgical management. I hope this answer helps you.