Conversation: The conversation between human and AI assistant.
[|Human|] Hi I have adenomyosis, and have pain that is associated with this problem. However, lately I have been very constipated and my pain has gotten worse in my lower part of my abdomen. I also have hemorrhoids again, when I had my son I had hemorrhoids for a short time, but the muscles reverted itself and I have not have it til now.I have been taking over the counter medicines such as borage oil and pycnogenol which help with my lower abdominal pain. However the constipation seem to make it worse and not sure what to do.Thank you CJ.
[|AI|]  Hi. Thanks for your query. You problems looks to be due to Constipation; the fissure in ANO or the piles (Hemorrhoids) got accentuated by the pregnancy. This may cause pain in the lower part of the abdomen and should be solved by the laxatives like Forage oil and Pycnogelol which you already have taken. Adenomyosis does cause the lower abdominal pains. The correct treatment is obviously Hysterectomy. I would advise you to go for the following:Colonoscopy after preparation. CT scan of the abdomen. Try other laxatives if required, Change of the diet habits to suit clear bowel movements. Hysterectomy Any procedure for the colon if found positive on colonoscopy and CT scan.