Conversation: The conversation between human and AI assistant.
[|Human|] I have recently been experiencing increased fatigue, severe low back pain (last 6 months), increased weight gain (30 lb in 6months), and most recent, abdominal distention/swelling and fatigue. Recent MRI, CT negative for back pain...therefore on Gabapentin to manage. CT showed enlarged abdominal lymph node. No treatment yet as doctor on holiday for two weeks. Recent blood work all WNL, except low Alkaline phosphatase flagged. Previous health issues: kidney stone formation, melanoma March 2011, undergoing menopause (9 months)
[|AI|]  Hello, I have studied your case. There is possibility of malignancy leading to pain. Pain on swelling indicates inflammatory process or nerve compression. I will advise you to do PET SCAN You may need further investigation to rule out malignancy. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.