Conversation: The conversation between human and AI assistant.
[|Human|] I have a 3 week history of nausea and vomiting with associated 30 lb wieght loss. It feels like someone punched me in the stomach. I had a clean upper GI scope. Vomiting(all day) unrelieved by prilosec, phenergan, compazine, and zofran.The vomiting may subside for a day, but returns.
[|AI|]  Hi this is Chat Doctor. Thanks for the opportunity to help you from your description it is an acute weight loss around 14kgs in 3 weeks but your UGI scope is normal.in this type of situation a CENT abdomen or an MRI abdomen will be invaluable.r u a smoker or regular alcoholic. Kindly give me a detailed history of your social life if possible. R u noticing yellowish discoloration of urine yellowing of the eyes. Clay colored stool with itching all over the body. If it is so kindly get an LFT and Bag testing done. Wether u underwent any blood transfusions recently to rule out possibility of HIV leading to such an alarming weight loss.a CENT or MRI can rule out any lower GI tumors GIST etc. Another cause of weight loss is TB abdomen though weight loss is not so rapid in tuberculosis still u can get a QUANTIFIER GOLD test and Sr. ADA done to rule the above out. Kindly get back to me with the above-mentioned investigations. Regards