Conversation: The conversation between human and AI assistant.
[|Human|] i get pain in the lower left abdomen if stand for long time or strain myself, especially carry weights. i also get pain in the right lower abdomen while passing stool. i have piles for last 20 years.  I have to go to toilet 3-4 times a day.Nowadays whenever i eat outside especially non-veg, i ll have to rush to toilet. sometimes i pass loose motions.what could be my problem?
[|AI|]  HiT hanks for writing in ChatDoctorI need further information regarding as u mentioned piles for 20 years have undergone any surgery for that or treated conservatively and also mention 1.)your age 2.)how long you are suffering with this problem 3.)any swelling or protrusion in right lower abdomen at the time of cough, sneeze 4.)do you have symptoms of nausea /vomiting 4.) factors aggravating your symptoms 5.)any chronic analgesic intake history/alcoholic 6.)are u under any cardiac or antihypertensive medications 7).any sudden weight loss 8.)about your appetite 9.)do you have feeling of incomplete evacuation of stool 10.) any complaints of bleeding per rectum.my advice is to better avoid non-veg and oily foods and to continue diet rich in fiber content, green vegetables, fruits., my advice is to take ultrasound abdomen and pelvis and to consult general surgeon I would be glad to provide answers to any further queries. Thanks for using Chat Doctor Have a good day! Regards