Conversation: The conversation between human and AI assistant.
[|Human|] My abdomen hardens after walking and/or going up steps/hills, I can feel it tightening up and this isnot comfortable. It also feels heavy sometimes and becomes uncomfortable to walk to where i hold onto buggy in the store to shop. Lower back pain has started this week just like i used to have with my periods. I am 65 and 16 months post radical tah/bso
[|AI|]  Hi, The backache & The abdominal stretch can be after effect of the operation (? Total abdominal hysterectomy With both sides ovaries).  * The backache can be due to osteoporosis following the ovarian removal. It can be managed by calcium, vitamin D replacement along with hormonal replacement if recommended by your doctor.  - considering your age, X-Ray spine will help to assess diagnose possibility of lumber spondylitis.  Depending on the indication for your operation, your doctor may suggest MRI to exclude certain other possibilities * When you climb the stairs, or lift /push a buggy, the abdominal muscles naturally get tight. The pain you feel is due to weakness of abdominal muscles /stretching of the scar.  This will reduce over few more months. You can start light abdominal exercises to strengthen your abdominal muscles. Painkillers will give you temporary relief.  Thank you.