Conversation: The conversation between human and AI assistant.
[|Human|] Hi I have been having sharp lower abdominal pain and lower back that is has woken me out my sleep a couple of times, I have even notice during my menstrual cycle I will bleed for a little then stop completely and then a brown discharge will appear I am in pain now but have a high tolerance to handle pain need to know should I go to the ER. A concern 26 year old
[|AI|]  Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. Forum.  You have got sharp lower abdominal pain, and lower back pain, a couple of times, You also get it during your period also. The period is not constant, and brown.  It appears to be due to urinary tract infection, stone in the urinary tract, pelvic inflammatory disease. Chronic appendicitis, or tuberculosis of the ileocaecal junction.  I advise you to consult a surgeon, for diagnosis and treatment, you may need to have C.T.scan besides other routine tests for confirmation.  Wishing for a quick and complete recovery.  Best regards.