Conversation: The conversation between human and AI assistant.
[|Human|] my wife is suffring from abdominal pain.pain was not that much when it started 8 months ago.she use to have pain near her periods.and she used to have heavy bleeding.now the pain is so much high from 1-10 is no 10.her esr level was 54.and she had swelling in her body.doctors have done ultra sounds,xrays,but they cannot find anything.please give us advice what to do.
[|AI|]  Hello, thank you for writing in to Chat Doctor. Few questions I need answers to before coming to specific conclusions:- Is the pain in relation to food intake (does it happen on empty stomach or only after eating) or is it in relation to her period? - Is the pain accompanied by any vomiting?- Does she also have loss of appetite?- Is there any discharge with her bleeding?- Are her bowel movements normal? Based on these answers one would be able to better diagnose your wives problem, like if there are signs of loss of appetite, liver function test is needed. If the ESR was done more than a week ago, you should repeat the test along with CBC, abdominal CT, urine culture and sensitivity, occult blood as well as stool RE. Please get back to us soon with these reports, so we can assist you much better. Meanwhile, anti helminthics can be given to her. If she's constipated you can give her mild laxatives at night. Pent parole and Risperidone tablets on empty stomach should be started. If pain is severe, tablet Accusing can be given SOS. All the best.