Conversation: The conversation between human and AI assistant.
[|Human|] hi. Im 19 years old and i live in Bangladesh. I have been.having gastric issues for the past 1.5 years and its getting worse day by day. The last time i had the endoscopy done was 1.5 years ago and they said i had erosive duodenitis. Thr pain is 10 times worse now. Yesterday my bp was as low was 40/60. I was hospitalized. I have been hving this really bad pain on my right lower abdomen next to my naval. They USG showed that i have an right adnexal cyst with thick endometrium. Every doctor i go to is ignoring my reports and saying its just stress..but i have no stress!!!
[|AI|]  Hello, The finding of the right adnexal mass with thick endometrium is suggestive of that you should go for a CT scan or an MRI to know the diagnosis of the mass, the possible etiology whether it is due to tuberculosis, or cancer or a simple cyst so that further treatment can be planned. No surgery of a simple cyst. If complex cyst, you have to undergo laparoscopic diagnosis and removal. Your doctors are trying to avoid any intervention as you are just 19 years old and in the reproductive age group. Also, go for blood tests particularly AFP for cancer. Erosive Duodenitis is a different problem and can occur due to stress, and get treated with PPI or Sanitizing. Hope I have answered your query. Let me know if I can assist you further.