Conversation: The conversation between human and AI assistant.
[|Human|] Hi, my name is Brittany. I had my appendix removed 3 years ago but for the last 2 - 3 days i have had really bad abdominal pain . I have had a miscarriage 2 years ago and had some complications with it.. I ended up having an emergency D&C as i was passing clots the size of tennis balls. My lower belly area and back are sore my lower belly is very tender to touch. I know that without actually feeling and seeing me in person its hard to diagnose but i was just wondering whether i should be worried. I also have a Mirena and i can feel the strings.
[|AI|]  Hi Brittany welcome to Chat Doctor forum.  Thanks for writing to Chat Doctor. F.  As you describe you have got lower abdominal pain and tenderness and back pain since 3 days, Your appendix removed 3 years back, and an abortion 2 years ago. You have arena still in position.  It appears to be the pelvic inflammatory disease, urinary tract infection, or stones in the urinary tract. If arena is there more than 3 years you may get infection due to it.  I advise you to consult a gynecologist for diagnosis and treatment. You may need to have U.S.scaling besides other routine tests for confirmation.  Wishing for a quick recovery.  Best regards.