Conversation: The conversation between human and AI assistant.
[|Human|] I am having lower abdominal pain from last 3 years. Pain is irregular. Pain used to occur around 3 -5 am , but for last 10 months it has started in the day hours also. Occurs a maximum thrice a day , lasting for 10 to 45 min. I have thyroid on the higher side and low vitamin B12. Endoscopy showed mild gastric. No vomiting tendency and no foul smell in stool and urine. No fever and no irritation urinary passage.  Please advice.
[|AI|]  Hi. Thanks for your query and an elucidated history. Since you have been having this pain for such along - say 3 years and used to occur at 3 to 5 am but now for the last 10 months it occurs in day too, up to three times a day, lasts for 10 to 45 minutes.This may be related to your body clock initially since it occurred in the early morning only. IT looks this clock is disturbed and turned into IBS as the most probable cause. I would advise you to get the following:Blood, urine and stool tests, review of the thyroid functions, and B12 and to get corrected if yet abnormal. CT scan of the abdomen and endoscopies. IF all the investigations are normal this can then only be taken as IBS and get treated accordingly.