Conversation: The conversation between human and AI assistant.
[|Human|] Hello.  I have occasionally had sharp pains in my lower left abdominal region, however, as of yesterday, the pain has been nonstop for about 14 to 15 hours.  I already have hydrocodone for cervical neck injury and I even took 2 and the pain still wouldnt go away.  I am also experiencing frequent urination.  The pain occurs even when I am at rest without movement.  It hurts to cough and I feel pain when pushing out urine. It doesnt hurt to urine but the pushing out of the urine causes pain in that area.  I have had cyst on the ovaries but that was years ago and I found out that I do have a phlebolith (however you spell it) in that area.  I wasnt sure if I should go to the ER or not.  Please advise.
[|AI|]  Hello! Thank you for the query. Pain in the abdominal area while coughing indicates inflammation in the abdominal cavity. Some of such cases needs surgery. That is why you should not wait with it and visit ER. Frequent urinating indicates urinary tract infection, but this might be also coexisting issue. Lower left area is where vertices can be located and in case of its inflammation or perforation such symptoms can be present. Abdominal ultrasound, blood work, CRP level, abdominal X-ray and urinalysis should be done. Hope this will help. Regards.