Conversation: The conversation between human and AI assistant.
[|Human|] HELLO DOC MY NAME IS NASEEM & IAM 32 YEARS OLD FEMALE, RECENTLY I GOT MY SONOGRAPHY DONE BECAUSE I WAS HAVING SWELLING ON MY FEET & PAIN ON LEFT & RIGHT SIDE OF MY ABDOMEN. IN MY REPORT IT CAME THAT I HAVE MILD HEPATOMEGALY & EXCESSIVE BOWEL GAS. AFTER TAKING MY MEDICINE ALSO MY PAIN HAVE NOT DECREASED, AND RECENTLY MY LEFT SIDE OF KIDNEY ALSO HAVE PIAN. TWO MONTHS BEFORE I ALSO HAD TYPHOID, IS THIS THE EFFECT OF TYPHOID OR SOMETHING ELSE??? KINDLY GIVE ME YOUR ADVICE SO THAT I CAN TAKE PROPER TREATMENT. THANK YOU
[|AI|]  Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor, I would advise you for a routine/microscopic test of your urine sample followed by culture sensitivity to rule out a UTI, and also a gone checkup to rule out a PID (pelvic inflammatory disease) especially if you are sexually active. I would also advise you for an ultrasound of the abdomen to rule our any renal calculi disease as suspected by you. The excess gas in your abdomen could be due to some indigestion which might not be related to the typhoid fever. Till then, I would advise you for a proton pump inhibitor and a probiotic Chat Doctor.  Further management would depend on the results of a clinical assessment and reports of the investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.