Conversation: The conversation between human and AI assistant.
[|Human|] I have been having really sharp stabbing pains in my abdomin but sometimes its just feels like pressure i have had it for a month now and its constant everyday but the pain comes and goes i went to the er finally and all they said was it was pain of unknown etiology i also have nausea at times. what could this possibly be?
[|AI|]  Hi. Thanks for your query. Pain in abdomen for the last one month, which is sharp at sometimes and just a pressure feeling sometimes with nausea and Doctor saying this as of unknown etiology is not acceptable unless these are investigated properly. I would advise you the following in such pain in abdomen:-Tests of blood, urine and stool: particularly for diabetes, liver and thyroid and kidney functions.-Ultrasonography to start with and Contrast enhanced CT scan of the abdomen to confirm or rule out certain problems.-Physical examination by a Surgical Gastroenterologist still has the main place in proper diagnosis hence get a reference for it. -Upper GI Endoscopy and / or Colonoscopy as may be indicated. - In doubtful cases, I would like to do Diagnostic Laparoscopy and SOS procedure. A proper diagnosis is possible with the advent of the newer machines and once a diagnosis is done, it is just possible to have a proper treatment.