Conversation: The conversation between human and AI assistant.
[|Human|] I have had lower abdominal sharp pain since August 2013.  Have been seen in the ER 5 times, MRI, ct scans, ultra sounds blood work all normal.  Colonoscopy done normal, physical therapy for a possible muscle tear or strain, no remedy.  Still have the pain and getting worse, vomiting lose of appetite and weight loss.  Can you suggest anything?
[|AI|]  Hi. Thanks for your query and an elucidated history. In spite of so many MRI, CT scans, colonoscopy, blood work the cause of pain in the lower abdomen is not found means there is either a Psychiatric problem or something which the investigations are not picking up. In such a case the best option is :Diagnostic Laparoscopy and doing a procedure as per the findings.  There is a possibility of a colorectal cancer.