Conversation: The conversation between human and AI assistant.
[|Human|] I have been having cramping pain in my lower stomach. Pain was 8-9 scale. I noticed a jelly like discharge on my pad this am (wear pads due to incontinence now for over a year with no luck stopping it) seeing a specialist for this. The discharge was somewhat clear. I went later and went to bathroom and noticed I had discharge when I wiped and it was in bottom area of vagina and was a little darker then am. I had noticed a couple of weeks ago two raised areas in that area almost soft like pushing on a balloon. I have had these knots come up in that area that are smaller but hard and my attempts to pop it took several days however it would eventuallyburst and it was like a discharge of yellow puss and blood. Sometimes this has happened before and it got as large as a pound of sausage log. The ones there in the past week have been like a soft area right under the skin by my vaginal area and leg. I have not ever had this balloon type cyst ever discharge as you could not get a hold of it to attempt to pop the area. I guess it is possible they would as they would go away. I realize these systems are probably not tied together but I don t know any other way of explaining it.
[|AI|]  HI! Good evening. I am Chat Doctor answering your query. Although it requires a physical examination of your abdomen along with a gynecological examination to reach at a most appropriate diagnosis, this seems to be a UTI (urinary tract infection) along with a pelvic inflammatory disease(PID). In addition, you might be harboring some kind of inflammatory reaction to the skin around the genital area due to urinary incontinence resulting in the cyst like raised areas with intermittent purulent discharge. If I were your doctor, I would advise you to take more care of your personal hygiene which I am sure you must be doing, and advise you for a urine routine/microscopic/culture sensitivity test, a gram staining and culture sensitivity of the discharge around the genital area, and some basic blood tests like a CBC, blood sugar, blood urea, serum creatinine, Bag, and an HIV test as a routine. Further selection of proper antibiotics for the detected infection if any would depend on the reports of investigations. However, if the pain in abdomen increases and persists, I would advise you to consult your gynecologist/ER of the nearest hospital at the earliest. 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.