Conversation: The conversation between human and AI assistant.
[|Human|] I had a panniculectomy and lipo about 3 years ago and unfortunately gained back all the weight I had lost and then some ( I am prob around 270lbs - 59)  I have recently begun watching what I eat, exercise and then over compensating with some bulimic behavior and have begun to feel pain in my lower abdomen. I know it sounds stupid but it feels like because that skin is so stretched and stitched up, its almost like ripping from the inside. I feel this discomfort whenever i am standing or tighten my stomach. Do I need to get attention? Will this just be painful until I lose back all the weight? There is no discoloration and all looks normal. The discomfort started about 2 days ago and has gotten worse.
[|AI|]  Hi. Thanks for your query and an elucidated history. History of Panniculectomy, lip, regaining weight, exercises, bulimic behavior and now pain in abdomen over the last 2 days in the lower abdomen noted. The probable cause can be intestinal infection / appendicitis/ colitis and so on, I would advise you a 5-day course of an antibiotic, metronidazole and supportive medicines. If there is no effect, you may need further investigations like ultrasonography, colonoscopy and related investigations of the blood, urine and stool for further diagnosis and treatment.