Conversation: The conversation between human and AI assistant.
[|Human|] Im having continuous, dull achy pain in the midline upper abdomen that sometimes intensifies and radiate to my back. Im 10 days post-partum and pain has been present x 3days. Normal, unmedicated vaginal delivery. Hx of near-total splenectomy (with post op splenic vien and portal vein thrombosis 2+ years ago, was tx with anti-coagulants for 6 months and had clear CT scan), mild-moderate h. sperocytosis. I had constant heartburn during the pregnancy, which subsided after the birth. Any dx ideas?
[|AI|]  Welcome to Chat Doctor .1. The present symptoms can be expected in the postpartum patients.2. But in your case you have history with thrombosis and splenectomy - There are chance to reoccur blockage after pregnancy with blood stasis.3. One can not take a chance with significant history - If you are my patient I would ask for a Doppler study to confirm that all the flows are normal.4. Suggest to get an appointment as soon as you can get.5. Gallbladder stone can also expect to give such pain.6. Hope it helps you. Anything to ask ? Do not hesitate. Thank you.