Conversation: The conversation between human and AI assistant.
[|Human|] My lower left side is hurting really bad and I have normal bowel movements so it couldn t be that. It started on pretty strong early this morning and now I can t get off the couch. What could it be?? Thus probably doesn t matter by gonna put out there I have hypertrophic cardio myopathy (hocm) had open heart surgery for it last year also I am a female and 22 yoa
[|AI|]  Hi. Thanks for your query. Read and understood your history of hypertrophic cardio-myopathy for your you had undergone open-heart surgery in the past, and does not look to be related to this much severe pain on the right side of the abdomen, also noted that your bowel movements are normal. The most probable cause of such a severe pain on the right side can be due to a stone impacted in the right ureter or rarely appendicitis. It is easy to get a diagnosis of this by a simple X-ray of the PUB of abdomen and ultrasonography, in addition to the tests of blood, urine and stool. If there is a stone in the ureter, the pain may persist till it is pushed down into the urinary bladder or is removed by ureteroscopy or open surgery.