Conversation: The conversation between human and AI assistant.
[|Human|] WENT TO ER 2 NIGHTS IN A ROW.  PAIN IN ABDOMIN AND AROUND THE BACK WITH BURNING IN THE STOMACH. THROWING UP (TO ME IT LOOKS LIKE BILE) EXRAYS SHOWED APPENDIX OK AND SMALL HERNIA AT BELLY BUTTON.  IT DID SHOW STOOL IN LARGE INTESTINE,THEY TOOK CAT SCAN, GAVE ME AN ENEMA.BACK HOME, BUT STILL NEXT DAT HAVE SAME PAINS ETC. TRIED EATING LIGHT BUT STILL INTERMITTEN PAINS, ENEMA DID WORK (ALL STOOL REMOVED????)   WOULD YOU SUGGEST A GASTROENOLOGIST OR I DO HAVE A COLON RECTAL DOCTOR?  SINCE THE ENEMA AND VOMITING SAT. NIGHT AGAIN,NOT AS BAD, BUT STILL COMES AND GOES. I THINK THERE IS SOMETHING ELSE GOING ON..
[|AI|]  Hi ! Appendicitis can be excluded more confidently by clinical examination than with any kind of investigations like X-ray. Sometimes gall stones and kidney/ureteric stone may also give rise to such symptoms, and an ultrasound abdomen is considered to be a better modality in detecting stones, which you can go for after discussing with your treating physician. Also, you can discuss with him for a liver function test with serum amylase and lipase. In the meanwhile, you should stop eating from outside like fast and fried food or alcoholic beverages, if you do. You can also go for some kind of prokinetic Chat Doctor.  I would suggest not to go frequently for enemas unless your treating doctor advises for it. Wishing you an early recovery.