Conversation: The conversation between human and AI assistant.
[|Human|] My husband is a cancer patient. In 2009, he had a stem cell transplant. He is doing fine but sometimes has stomach problems. He says it feels like someone punched him in the stomach. When this happens, he will usually end up with a fever and I have to take him to the BMT clinica where they do testing which always come back negative. He gets a an iv with saline and usually 7 days of antibiotics. He then gets better. Could this be part of GVHD?
[|AI|]  Just stomach pain is not manifestation of GVHD. GVHD manifests with skin rash, diarrhea and liver function abnormalities which manifests as fatigue, loss of appetite or jaundice. You need to get an upper GI endoscopy and ultrasound or CT abdomen to know exactly what is happening. Since pain is associated with fever, infection is a strong possibility. Sometimes tiny abscesses are missed on ultrasound and CT is required.