Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I am experiencing pain in my right lower abdomen. The pain is very tender, dull, aching, and I am also experiencing bloating. It has been going on for 48 hours, and I m wondering if these are ER worthy symptoms. I have a history of reflux and IBS as well, however, I usually experience pain on my left side -- so the right side is a very new symptom. When I usually get pain on the left side, it is usually a sign of gas. I have very little gas associated with this pain that I m feeling now in the lower right abdominal pain. I have had diarreha today as well. Thanks for your guidance.
[|AI|]  Hi, thanks for posting your concern in the Chat Doctor. If you have IBS, pain can actually occur at any point of abdomen. So, it is not uncommon to have pain in right lower abdomen. But, there are possibilities of enteritis or enterocolitis too. Even guardian infection should also be ruled out. My understanding is you should have the following tests done-1. Blood for complete blood count, CRP, fasting TSH, HbA1c, fasting LFT2. Stool for routine examination and After sending the sample, you may start on1. Tab Rifaximin 400 twice daily for 14 days2. Cap Enterogermina twice daily for one months should also consult a local gastroenterologist at the earliest for further evaluation. Continue having good oral HY Chat Doctor. Hospitalization may be required in case of fever, deny