Conversation: The conversation between human and AI assistant.
[|Human|] hi, I am a 50 yd female with 10 year hx of cholitis. I have severe lower abdominal pain today (felt painful like childbirth). radiating across pelvic area to posterior lower lumbar area. similar episode 2 years ago with full work up and iv pain control. pelvic Ultrasound and lab work unconlusive. at onset 10 hours ago pain was 10 range 1to 10. muscle relaxers, Tramadol, Alprazolam, Cyclobenzaprine and over counter naproxen have decreesed pain to a 2. No bleeding or discharge. Irregular bowel pattern for years with no constipation.Please help me figure this out. I almost went to the ER today for the pain, but decided to just wait and see how this progresses.Thank you for your time.
[|AI|]  Hi,thank you for providing the brief history of you. A thorough clinical examination is advised. As this might be either the pathology of the lumbar spine leading to pain in the lumbar region and muscular pain in the lower abdomen and pelvic floor area. Having an ultrasonography of the abdomen should help understand the possible pathology of the abdominal area.treatment. Physical therapy for strengthening the muscles along With Therapeutic ultrasound therapy and TENS therapy should help you feel better again. Regards Jay In Chat Doctor.