Conversation: The conversation between human and AI assistant.
[|Human|] Hello! I have been having lower left abdominal pain for several months (close to a year) but it got pretty bad a few days ago which prompted me to go to the ER. The pain was severe sharp, gaseous pain before a bowel movement. I have also been experiencing fatigue (on and off) and arm and back pain for several years. In the ER they did CT scan of the abdomen/pelvis, CBC, CMP, LFTs, Lipase level, BChatDoctor and UA. All came back negative, except for a 15 mm fundal calcified fibroid. They discharged me from the ER, but the lower abdominal pain persists and I noticed for two days now I had spotting of fresh blood. I just finished my period last week. I do have history of cervical polyp which was taken out surgically last year. I didn t hear an official result of the biopsy from the hospital, but I guess no news is good news. My OB Gyn however told me it s not cancerous when I asked him. I have been experiencing high level of stress these past two months. Is there any connection to stress? I am very concerned about this. Could it also be IBS or hypothyroidism? I really don t know. Any help would be highly appreciated. Have a wonderful day!
[|AI|]  Hi. Thanks for your query. To recapitulate: Lower left abdominal pain for nearly a year - ER -sharp gaseous pain before BM - fatigue -all tests negative except 15 mm fungal calcific fibroid - spotting fresh blood - stress for 2 months - ? IBS / hypothyroidism- With the history you have provided there looks to be a change in the fibroid that might have caused the pain. Another reason for gaseous pain before bowel movements and stress indicate more towards IBS. I think get treated on the basis of IBS and you will be fine. Get colonoscopy on a safer side to rule out any cancer.