Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am 54 year old female with no ovaries. I had a small egg omelet for breakfast. Around 1:30pm I ate a handful of mixed nuts . Approximately 1/2 hour later I developed sharp intense pain in my lower right quadrant o my stomach appromately 1inch lower than my navel. The intense sharp pain has subsided however I am still experiencing pain and tenderness when I press on the area and it still feels like comes in waves just much less intense. Any clues! No fever , no flu symptoms
[|AI|]  Hi ! The first thing I will think with your symptoms and signs mentioned is an attack of appendicitis if there is no history of its removal earlier. For this, you have to consult a surgeon and get clinically examined who may suggest you a few routine investigations along with an ultrasound abdomen. The next possibility is food poisoning. You may get to have loose stools/vomiting if the infection is severe. Next possibility is a pelvic inflammation. For this you have to get yourself examined by your gynecologist. The ultrasound will rule out if there are any calculi in your urinary tract which may also give rise to such symptoms. A diagnostic laparoscopy is an option if everything else fails to diagnose the problem. Please consult your doctor and get investigated. Good luck.