Conversation: The conversation between human and AI assistant.
[|Human|] I have been having lower right abdominal pain the past two days.  It is the worst at night when I lay down.  Then it tends to lessen in pain.  This has happened off and on over the last few year and it gets to the point that I almost go in to the hospital thinking I have an appendicitis.  Then I lay with my feet up and apply ice and the pain alleviates.  Is this something I need to have seen or do I just keep doing what I am doing?
[|AI|]  Welcome to Chat Doctor .1. Similae symptoms can be seen in the recurrent kidney stones / adnexal cysts / mass lesions.2. I n this case I would ask my patient to get an ultrasound abdomen done to rule out all the above causes.3. After that there can be bowel pathology like diverticulosis / diverticulitis.4. So get an appointment with your doctor as soon as you can, and get an ultrasound abdomen pelvis and if needed CT.5. Try to avoid junk food / spicy food and alcohol for at least 1 month and see if you find helpful. Anything to ask ? Do not hesitate. Thank you.