Conversation: The conversation between human and AI assistant.
[|Human|] hi, so this is embarrassing but i have some very intense back pain for the last few days and i have been defecating much more than usual. I m also very weak and tired all the time.I have just returned from a month long trip in Uganda. I was tested for stds about a month ago, but I have not been tested for pregnancy. Other than that I have ADHD, depression, and HSV1
[|AI|]  Dear-thanks for using our service and will help you with my medical advice. The most common reason for pain when defecates is an internal hemorrhoid, specially if constipated and had to make a big effort to move your bowel. However, colon polyps or lesion obstructing the colon canal can be painful too. It is important to have a checkup including laboratory exam, to make sure that you don't have anemia which makes you tired and weak. Your medical conditions are not associated with this complaint although some medications for depression and ADHD can cause constipation. I hope that my advice has been helpful Chat Doctor.