Conversation: The conversation between human and AI assistant.
[|Human|] Hi,my name is robert I have had a bad stomach for many years now I have had a number of hospital admissions they removed my gall bladder out about 2years ago because they said thats what it was now. They are saying it might be lbs  all I seem to do is go in and out of hospital now I am stuck at home crying with the pain I have lost my appetite.. And I dont have eny social life its that bad now I feel like giving up I mean I haveant even eny pain relife because the doctor says it might make the pain worse I am at my wits end now
[|AI|]  Hi. The persistent pain in abdomen in spite of gall bladder removal may be due to following reasons:IBS as has already been suspected / Tuberculosis / diverticulitis / vascular problems of the intestines / intestinal obstruction and so on. I would advise you the following:I would have liked to see the medicines you have taken in past with dosage and investigations you have undergone. This is the most important. For us to say this as a IBS i.e. Irritable Bowel Syn Chat Doctor. I would advise the following investigations and treatment in a such a case:Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS. If a specific cause is found out, it is easy to treat the problem.