Conversation: The conversation between human and AI assistant.
[|Human|] I was disgnosed with endometriosis in feb2003 due to ruptured of choc.cyst - opened surgery done. In Apr2008, I had done one cystectomy via laparoscopy - other finding : PID with pelvic adhesion, right follopian tube opened and left follopian tube blocked. In oct 2008, i had done my first IVF, during day 1 to last day of gonal f /growth hormone injection, encountered extremely painful lower abdominal and bowel/anus pain?? and got pregnant with twin but lost one in Jan2009. In Nov 2008, i was hospitalized due to post ivf hyperstimulation syndrome, OHSS, Paracentesis. In Jan 2009, I was hospitalized for 7 days due to threatened miscarriage and placenta previa In Mar 2009, I was hospitalized for 7 days due to threatened miscarriage In end of Mar 2009, Membrance ruptured, bed rest until baby had to force deliver via c-section In May2009, Caesarean section - gave birth to 26 weeks baby In May 2010 - Jun 2011, stopped breast feeding in May 2010, started to feel pain during mensus time and after mensus...pain can last for 15days (from day1 until day 15 or more) In Jun2011, I was hospitalized due to lower abdominal pain- disgnosis : recurrent of endometriotic cyst and also found myoma/ fibroids in my uterus, given ponstan In Oct 2011, 2nd IVF done..extremely painful lower abdominal and bowel/anus pain?? pain similar to 1st IVF done..no responding well - injection to the max and yet failed to get pregnant. In Feb2012, I was hospitallized due to lower abdominal pain- similarly ponstan was prescribed as pain relief In Jun2012, CA125 83.4H, us done, cysts and fibroids grew bigger than before and dr said i have adenomyosis In Oct 2012, cystectomy and uterus fibroids myomectomy done via 3 holes, 1 cyst removed and 2 fibroids removed and adhesion released. In Nov 2012, CA125 102 H In Nov 2012, MRI done . Mild changes of lumbar spondylosis at L5/S1 level and A26mm partially imaged cystic lesion is seen in the left hemipelvis- ? Left ovarian cyst In end of Nov 2012, I was hospitalized with lower abdominal pain and lower back pain (bowel /anus pain)...not disgnosis yet... yet to find out.....dr had refered me to Mental Health Dr, neuro dr, gynae....physiotherapy... not seen them yet. From my history, can you tell what wrong with me. I have been experiencing such Hell pain eversince the first IVF and it was the similar pain haunting me for the past 2 1/2 yrs. Of course the most painful feeling was during IVF time - it was 100xxx times painful than everymonth mensus cycle and after the cycle. During Mensus time it was extremely painful...i cannot sit or lie down....nothing could help me..ponstan start to loss effective for the past few months..the pain was whole day pain...never stop only get worse at certain hour and could last for more than half a day and sometimes more than that. Symptoms 1. Lower abdominal pain, from the left front (felt like from the left ovary- swollen feeling, expanding and contracting kind of feeling ) and middle front (like the uterus was pulling down to the birth canal), 2. lower back ...not able to pinpoint on which area, i felt like from the anus /bowel...the pain was like continue shooting pain radiated from the bowel/anus and felt like it was contracting...extremely painful ...when this pain started...it make my left side of my waist ache and numbness, pin and needle can be felt at my left hip and left butt and left knee....no able to pass gas ...sometimes pass motion making the situation worse and weak in urination. My abdominal felt cold and fever at the time i was in pain.
[|AI|]  Hello, Causes for lower back pain are:-Injury-Blunt trauma-Sprain or strain-Spondylosis-Spine-related problems-Improper postureAbdominal pain may be due to infection, renal stone, gastritis. Hence, I would like to advise you the following: -You can take the tablet Norfolk TZ.-Take the tablet diclofenac. -Apply diclofenac gel or cream. -Apply ice locally. -Do x-ray and MRI back and hip region. -Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with orthopedics. Hope I have answered your query. Let me know if I can assist you further.