Conversation: The conversation between human and AI assistant.
[|Human|] Several months ago the day after my period I had sever pain, worse than anything other than child birth, on the left hand side of my abdomin. Each month after the same thing but not as painful has happened. I have had a internal ultrasound and they found a small kidney stone on my left kidney. I have also had painful bowl movements but in the last 3 weeks I have had heavy bleeding for several days and then spotting. The last 3 days I have experienced very sharp pain on my lower left abdomin. My doctor has booked me in for a right hand side X-ray and a specialist will be doing a internal ultrasound. Could it be endometriosis.
[|AI|]  Hello and welcome to Chat Doctor, The pain in the lest lumbar region along with finding of a calculus in the left kidney is more suggestive of renal colic (renal pain) rather than endometriosis. An internal ultrasound will further potentiate the presence of calculi in the kidney and its location. Endometriosis is characterized by painful menstruation (amenorrhea) and polymenorrhea (excessive bleeding). The internal ultrasonography will identify the loci of endometriosis if present. The management of renal calculi depends on the size of the calculi, and its location. Endometriosis can be managed conservatively. Thanks and take care Chat Doctor.