Conversation: The conversation between human and AI assistant.
[|Human|] I have been having excruciating lower cramps,now for the last three times I went to the bathroom my stool was very dark and tarish. Now mind you I am on a lot of meds. I have RA, SLE, NEUTROPHILIC URTICARIA, AND LIVER DISEASE(in which most of my enzymes are elevated...I take metoprolol for hypertension, immuran,  methotrexate, enbrel, and dilaudid for incontractable pain, anti anxiety meds prednisone and sleep meds for insomnia. I know that my case is a difficult one so if no one answers its ok. I am just a little worried about this pain I am having with this stool problem. Before it was dark it was really pale almost off white. Well THANK YOU ALL AND HAVE A GREAT DAY!!
[|AI|]  Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, after an initial clinical examination, I would advise you for a stool test for occult blood as black tarry stool could be due to any kind of repeated blood loss from your upper GI tract, specially with a history of ingestion of prednisone and any anti-inflammatory Chat Doctor.  I would advise you to stop specially these two