Conversation: The conversation between human and AI assistant.
[|Human|] I have right lower abdominal pain that shoots from my right SI joint through to my abdomen every night between 5-7 AM. Laying my right side increases the pain. I am unable to take a deep breath in. I instantly jump up and void and that relieves the pain until I have a bowel movement . This only happens at night, and it happens without fail. My obgyn has done an ultra sound and blood work and it all comes back normal? Can you help?
[|AI|]  Hello, You are having an acute abdomen which could be treated first by ruling out the possible diagnosis of Right Iliad fossa pains:1. Appendicitis (clinical examination of abdomen and rectum, abdominal ultrasound by a radiologist or surgeon, then other blood works up like full blood count, CRP, ESR etc. could be done to support diagnosis)2. Nephritic colic/ kidney stones/ pyelonephritis etc. (urinalysis+ kidney ultrasound)3. Diverticulitis4. Ectopic pregnancy (pregnancy test +, pelvic ultrasound may or may not show)5. Colic 6. Pelvic inflammatory diseasesThese are just a few among the numerous differential diagnosis for right Iliad fossa pain. Which needs to be carefully examined by your doctor, one after another. I will suggest you meet a visceral surgeon to handle your problem. (don't be alarmed, seeing the surgeon doesn't necessarily mean you will get operated, surgeons are simply good with acute abdomen issues). Hope this helps