Conversation: The conversation between human and AI assistant.
[|Human|] I woke up on morning an my abdomen was distended and I gained 18lbs in a month feel movement in my abdomen. Also I had a pregnancy test negative and vaginal ultrasound negative everything looks good from a ob/gyn standpoint; i also have a mirena in. i also went for a abdominal ultrasound which showed two gallstones. i have been having lower back pain pain in my abdomen midstomach to chest and below my right breast bone also right shoulder pain. I still have the movement in my abdomen like a fetus. My bowel movement have been a little constipated and on the thinner side as far as width and have lightened in color. also have high h-pylori which i have had in the past. and i also have been having troouble swallowing too.
[|AI|]  Hi. Thanks for your query. Read your history and correlated it to two things. I have two diagnoses for you1. Pseudocyesis2. Gall bladder stone.1. Pseudocyesis : Means there is no actual pregnancy, but the patient gets all the signs and symptoms. This is confirmed by a negative ultrasonography. He is patient who has the extreme desire of having Motherhood again develops this sort of problem. No one really knows the reason and the exact mechanism by which this happens. Consult your Senior Gynecologist who has seen such more cases for counselling and further management.2. Gall bladder stones may be incidental, but you have a right shoulder pain, so a gall bladder infection / obstruction / can also be present. Plan a Surgery after the pseudocyesis is resolved.