Conversation: The conversation between human and AI assistant.
[|Human|] extreme lod abdo pain struggling to stand up straight with the pain - very distended stomach all painful to touch as well as pain internally - pain through bowels and rectum extreme discomfort feeling like my insides are falling out when I go to the toilet have had IBS for years but nothing like this ? Please advise
[|AI|]  Welcome to Chat Doctor .1. Your symptoms are seen in the irritable bowel syn Chat Doctor. 2. Same symptoms are seen in the acute gastroenteritis, and conditions like bowel obstruction and simple gaseous state.3. Bowel pathology will be better picked in the CT with contrast.4. As ultrasound abdomen is not very good at picking the bowel pathology with presence of gas.5. I would recommend you to get an appointment and no needful investigations as your GP indicates. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.