Conversation: The conversation between human and AI assistant.
[|Human|] I have been having some tenderness in my stomach area. In the last few months I have had two occasions when I have experienced a twisting moving sensation on my left side right above my waistline. This area will remain especially tender for a few days. I am 61 yrs old and have acid reflux for the last few years and take Prilosec every morning. I am sure I have had IBS these last years which flares up in times of stress and find that my stomach cant handle what It use to. My stool has not been black so I dont think that internal bleeding is an issue but I do find myself quesy at times. I would appreciate your insight.Thank You
[|AI|]  Hi. The explained pain as twisting moving sensation indicates involvement of intestine for sure. Since you are 61 years old, and you had only 2 occasions in last few months, I would advise you to have colonoscopy to rule out any pathological lesion like a growth or so, before thinking about IBS. Continue Your medicines as before and have a course of an antibiotic effective against colonic conditions as per your Doctors advise. The stool can never be black if the last part of colon is bleeding, it remains red.