Conversation: The conversation between human and AI assistant.
[|Human|] Hi I m 29 y/o female. Earlier this year I spent three weeks in patient for a fistula between my bladder and sigmoid colon. Last week I started having extreme abdominal pain, diarrhea, sulfar belching and gas and also four smelling urine. Today my pain in incredibly worse, unbearable. I m in a new state and have no doctors yet. I feel I should go to the ER but keep talking myself out of it as they don t know my medical hx and I m on prescribed vicodin for bulging disc and don t want to be judged but I know it s not good and I need to have looked at immediately. Any advice?
[|AI|]  Hi. Thanks for your query. Read and understood your problems. This is a complicated problem as you have a fistula between the sigmoid colon and the urinary bladder. This can cause severe in infection of the urinary bladder and urinary tract as a whole causing septicemia or any other complication. You have to get admitted. Antibiotics and catheter insertion for proper Chat Doctor. Contrast CT scan studies and a plan for proper surgery to have disconnection of the two organs and removal of the fistula.