Conversation: The conversation between human and AI assistant.
[|Human|] I had gastric by-pass five years ago. I have had a heart bypass 10 years ago. I have been having intestanal spasyms progresivly for a year. I had a colonoscopy, angiogram, CT scan Two ultrasounds and went to a Vascular surgeon to try and get a diagnosis. My symtoms dont match iscemic intestines. It only happens when I am doing something that I use my abdominal area such as washing dishes or fixing my hair. The pain is dibilitating. It does not happen after I eat, only with activity. Walking does not trigger it. This is so frustrating, does anyone have any idea of what it might be?
[|AI|]  Hi. Thanks for your query. Read the history and understood your problem. Quite a rare occurrence - as the pain in abdomen occurs only if you are doing something that use your abdominal area such as washing dishes or fixing hair. Noted the history of Gastric bypass and Heart bypass; Intestinal spasms progressively for 1 year, Did all the relevant investigations like CT scan, colonoscopy, angiograms, and consulted the vascular Surgeon. But to no avail. Let us take a chance to get the MRI of the whole spine-which probably might show some prolapsed discs compressing on the spinal cord when you attain a particular position. Color Doppler of the abdomen whenever you are in pain may help to clinch a diagnosis. As also a therapeutic trial with medicines like Gabapentin or so.