Conversation: The conversation between human and AI assistant.
[|Human|] My wife had constipation for 3 - 4 days and after enema she started to get stools.    During this time she had severe pain in the left abdominal area.   On investsigations her  widal test  showed PARATYPHI BH POSITIVE  TITRE 1:160.  My question is constipation is caused because of this, and now she has severe pain left side of her  abdomen- very tender I want to know what is the reason for her abdominal pain?pl. answer me
[|AI|]  HI-Constipation, for 3-4 days-Pain abdomen for one day-Widal test positive-Severe pain on left side of abdomenThese symptoms does not co relate each other-Widal test without any fever or pain abdomen less than 7 days is not significant-Pain on left upper abdomen may be due to enlarge spleen due to enteric (typhoid)fever-Advise blood for culture for typhoid fever-Ultrasound to rule out stone in left kidney, ureterThanks