Conversation: The conversation between human and AI assistant.
[|Human|] im a 20 year old female that is having abdomial pain on the left bottom side and as had it for a long time. i have dairiehia and vomiting and its painful to touch the area on my abdomen {lower left} changing positions adds discomfort i cant seem to get comfortable. on a scle of 1 10 for pain its starts at about a 2 and gradually progresses to a 10 the pain is dull at first but then it sharpens severly and this multiplies as time dragged out for certain periods of time at any given moment it wakes me from a deep slumber i take trazadone 100mg for sleeping issues i have and digesting food or not doesnt seem to affect it.
[|AI|]  HI. The combination of diarrhea, vomiting, pain in abdomen which on a scale of 10/10 and increases on changing position is suggestive of an inflammatory process in the abdomen. I would advise the following in such a patient:Get admitted to the hospital. Intravenous antibiotics, fluids and supportive medicines. Blood-complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Urine-routine, microscopy, culture and sensitivity (before start of antibiotic)Ultrasonography of abdomen. The diagnosis got in such a way will lead to decided whether you need a medical management or an emergency surgical intervention.