Conversation: The conversation between human and AI assistant.
[|Human|] I have had several episodes of severe abdomen pain with pain radiating out my left shoulder and nesk accompanied by violent diarehha and sometimes nausia.This always happens after eating.  I eat small portions because I thought this may stop it.My gallbladder is gone.  I am female 61
[|AI|]  Hi. Thanks for your query and an elucidated history. The causes of pain in abdomen with violent diarrhea and nausea can be due to an inflammation of the large intestine or an inflammatory mass near the intestine. What makes this odd is this is associated with pain radiating to left shoulder and neck. This occurs if the inflammatory mass is touching the left diaphragm, hence the diagnosis gores in favor of colonic diverticulitis ... As a precaution and ECG and cardiac check up is necessary. I would advise you the following :ECG as already said. Colonoiscopy and biopsy CT scan of the abdomen. The treatment will depend upon the findings of the investigations