Conversation: The conversation between human and AI assistant.
[|Human|] I have been suffering from IBS ( Irritable Bowel Syndrome ) problem from 4 years now (2008-2010 and now again in 2012). I am suffering from pain in my right abdomen (lower side) with constipated motions. This pain also radiates to my right leg and back sometimes (especially while applying pressure to evacuate). I also feel an urge to evacuate after having meals. Frequency is more than thrice a day. I feel less energetic and lethargic. And I also feel frequent urination . Occasionally, feel bloated and acidity. The problems have resurfaced after I underwent an appendicitis surgery in Aug 2012. I took allopatChatDoctoredicines in 2008 and by taking heavy doses of anti-spasmodics, antidepressants and other medicines over a year, the problems got subsided but the same problems have reoccurred now and posing numerous problems in my personal as well as professional life. I have also undergone alternative therapies ( ayurvedic and herbal treatments) but didn t help much. I have been taking care of my diet as various doctors said IBS is aggravated due to imbalanced and gas-producing foods.... I only get temporary relief and the problems reoccur if I stop medications. I have also felt the problem increases (pain as well as constipation) when i masturbate. Please help me out as it has been a harrowing experience as I have taken so many tests (all are normal), consulting numerous doctors without any effective results and it is really depressing sometimes.
[|AI|]  Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. Forum.  You have got pain in right lower abdomen, sometimes spreading to back and leg when straining for defalcation. You feel an urge to evacuate, after food, You feel less energetic, and lethargic. You also feel bloating and acidic. Pain recurred after a surgery for appendicitis.  You have got frequency of micturition. And pain increasing after masturbation. No relief with many treatments, and many systems of medicines.  I advise you to consult a urologist for diagnosis and treatment. Have the urinary system examined for prostate, urinary tract infection, or stones in the urinary tract, which would have co-existed along with I.B.S. Avoid taking spices, junk foods, and oily foods. Avoid untimely diet.  Practice diversion procedures like yoga, meditation, reading books like magazines, and hearing interested music.  Wishing for a quick and complete recovery.  Best regards.