Conversation: The conversation between human and AI assistant.
[|Human|] how is it that at being 24 years old now, have been experiencing vicious cramping, vomitting from cramping, and have had to leave work and school because i cannot move with out pain. MY obgyn changed up my birth control but as far as i can tell i feel worse. HELP
[|AI|]  Hi! Good evening. I am Chat Doctor answering your query. All the precautions including birth control pills are not 100% foolproof in protection against a pregnancy. If I were your doctor, I would go for a serum Chat Doctor determination followed by an ultrasound abdomen to rule this out. Only after ruling this out, I would further investigate you to rule out any other pathological process in the pelvic adnexa or in the appendix. Till that, you could go for an antispasmodic Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.