Conversation: The conversation between human and AI assistant.
[|Human|] Hi there, Im looking for some guidance and advice, basically it started a year ago in April, I was feeling ok then had a feeling of indigestion, but it wasnt that as I hadnt eaten, this then evolved into pain on my right side, this was pelvic pain lower than my belly button but more to the right, I was vomiting and unable to stand, dizzy and felt spaced out - following advice I was taken to hospital, the doctor suspected a UTI, and gave me an injection, by this point I was in immense pain and rolling about a and e ... the doctor admitted me to triage - surgery ward with suspected appendicitis, a few days as Nill by mouth on a drip the pain died down and was bearable without pain relief. Since then 3 more of these episodes have happened exactly the same symptoms and onset of this and Ive had to be hospitalised until I am better. On each occasion a different doctor gives a different diagnosis, appendicitis and one suggested I must learn to live with the pain as all my tests are normal. I have had 3 ultrasounds that have came back normal, one showed a femoral hernia, however there is no pain in the groin and the surgeon assumes its a red herinh. I have had internal scans for ovarian cysts and endometriosis, these have came back clear. Recently, I went to hospital following online advice when a bowel movement contained an orange grease like substance, this was present with and without stools for 3 days. I have also recently had severe constipation and bloating which I have never had before, Im having a lot of pain on my right pelvic side and this is at any level of movement, it is especially sore whilst I urinate or pass stools. Any information or guidance would be great. Just wondering if theres something thats being missed. :) thanks!
[|AI|]  Hello! Thank you for the query. Your symptoms should force surgeon to perform appendectomy. Even if the appendix will occur healthy, this will finally rule this out. This is the first thing which should be done as your symptoms along with right lower abdominal pain are enough to remove appendix. Antibiotics can cure some part of appendicitis, but it can come back. And when it does, should be removed. I suggest you to consult a surgeon, ask him to do diagnostic laparoscopy with appendectomy. Other thing is your hernia. Please not the hernia is the most common reason of bowels obstruction. So if this hernia is on the right side, it should be fixed. Hope this will help. Regards.