Conversation: The conversation between human and AI assistant.
[|Human|] I have severe abdominal pain and cramping that sometimes leaves me doubled over and having difficulty standing up straight. I have episodes of nausea and vomiting. I have a lot of gas. My bowel movements have changed. I spent 3 days in hospital 2 weeks ago and was diagnosed with paralytic ileus. Abdominal pain has continued though. I have several good days with no symptoms and then the above symptoms return, sometimes accompanied by headaches and fatigue.
[|AI|]  Hi. The question has to have some relevance. There can not be cramps (of intestinal origin) during paralytic illus. Paralytic illus means the intestines have gone into a stage of paralysis, and they can not move (no peristalsis). Well-regarding your symptoms-Get proper investigations as follows:::Blood-CBC, ESR, sugar, urea, creatinine, Tidal for Typhoid liver function tests, thyroid function tests, most importantly serum electrolytes- these can cause varied symptoms. Urine, stool, X-ray of the abdomen in the standing position and ultrasonography. A proper diagnosis is a must. Get admitted, proper intravenous fluid as per the deny Chat Doctor.  If there is a surgical cause like obstruction, you may need exploratory Laparoscopy with SOS procedure.