Conversation: The conversation between human and AI assistant.
[|Human|] im a 39yr old female,i just had a spinal fusion surgery on my back in December. in December I missed my period,january comes I get my period but its really heavy and then I started vomiting for 8 days straight when my period was over s were my symptoms, then febuary comes same thing I get my period and vomit for 8 days again,now march just before my period started I vomited for 8 days then my period started and I vomited for another few days . ive been hospitalized for dehydration 5 times since jan. before my back surgery I was on a high dose of morphine for pain but im off it now and have been for 6 weeks my dr thought it could be my receptors in my brain he also said I didnt have any of my own endorphins to fight pain so I need to work on building them back up.but even now my dr is confused by my symtoms and is now sending me for a colonoscopy ive already had an ultrasound that came back normal and blood work came back good to except my white cell count has been concistantly high since this started I believe my cell count was 13,000 .  the er dr last night asked me if I use marijuana and I said I did for my pain cause I cant take pain killers so the er dr told me about a study being done called cannibanoid hyperemesis syndrome,never heard of it before but hes the only dr ive seen to mention it.
[|AI|]  It is not that your spinal fusion got to do with pain, successful surgery will prevent all movement there and nerve impingement, so cause for pain is not it. Your doctor should gradually shift you on alternative painkillers if at all needed. Heavy periods and vomiting has got something to do with hormonal imbalance probably, and a gynecological consult is necessary. If USG is not finding anything, simple anti-emetics before periods must be taken and may be prescribed by genes specialist after giving you internal check and hormonal profile. If you are having abdominal pain, then maybe colonoscopy may be necessary for bowel symptoms/findings that has made your doctor think on those lines.