Conversation: The conversation between human and AI assistant.
[|Human|] Hi! Im 41 yrs of age, hv always had a regular cycle... never a day here or thr..... ive missed my periods this month... im over 5 days now... having bad cramps in my stomach and pain in my lower back.... what can it be> and no im not pregnant as my husband has had a vesectomy done.... plz help
[|AI|]  Welcome to Chat Doctor .1. There are a number of causes which will gives you such symptoms.2. The possibilities are acute gastroenteritis / renal stones / gallbladder pathologies.3.uterine / ovarian pathologies do cause similar symptoms.4. If you are my patient I would start with examination and ultrasound abdomen pelvis done. Which will help me to rule out many causes and narrow down diagnosis.5. Depending on the findings' treatment will start. So I recommend get an appointment and see your GP and do needful things. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.