Conversation: The conversation between human and AI assistant.
[|Human|] I have had sever abdo and gut problems for 6 years now to the point I am bed ridden I have seen so many specialist and had many test and surgerys and yet no one can tell me answers all they say is have a bag put in and a historectomy and see how the pain goes so I live on endone which make my sever constipation worse I am forever in hosp as I get so severly constipayed I use so many things from bowel preps and pain killers an nothing wrks all dr have turned there back on me cause they dnt know what wrong please help as this leads me to feel miserable chronically in pain 24/7 when I have always been healthy and fit an now im depressed and even opted for suicide as I cant live like thi any more I have had colitis and I suffer sever ibs an barretts ospehgus but dnt believe it would cause this much pain ive done all diets been checked for every disease I need answers im 30 an no one listens please help or recommend the best leading dr
[|AI|]  Hi. First, I would request you to enlist the problems, surgeries in a good chronological way for me to understand what exactly is the history. Since you are giving a history of Colitis, IBS and Barrett's, I wonder these to be one of the important causes of the pain you have. I would advise you to have few investigations. Please ask for an Enterocolitis wherein you are given barium through a nasogastric tune to delineate the bowel in real-time to see what exactly is the motility, any obstructions, strictures and so on. Now-a-days camera endoscopy is also available. You can go for diagnostic Laparoscopy to see exactly the interior of the abdomen. I hope these tests would help you to get a proper diagnosis. Constipation has to be avoided at any cost as these will enhance the problems. I hope this will help you. Please post previous records.