Conversation: The conversation between human and AI assistant.
[|Human|] i am having severe lower abdomen pain,from 3 years, from last 6 months pain is severe, there is no hunger, eating less, vomiting sensations, swelling in feetarlier in March 2011 1.ultrasonograpy upper abdomen done result normal.2. Upper GI Video endoscopy done - normal.3. X-ray chest normal.4.USG lower abdomen- normal.5. X-ray of barium meal ileocaecal -normal.. colonoscoy done in october 2010- internal haemorrhoids 3 columns mild oozing treatment taken.doctors prescribed tegibs, rabelet, nexito, is tegibs good or it can be stopped, w hat has happened nobody is telling
[|AI|]  Hi. Thanks for an elucidated history- 3 years pain in abdomen, increased 6 months with associated symptoms you have noted and all the investigations done are normal. I would advise you the following::First take a second opinion of another Surgical or Medical Gastroenterologist as a proper history taking and good physical/ clinical examination can many times point to the probable diagnosis. Investigations are always done to confirm a clinical diagnosis and to rule out certain things. I would also recommend you the following investigation: Repeat CT scanDiagnostic laparoscopy for diagnosis and may be therapeutic too. Many forms of diseases like tuberculosis are not easily seen on investigations.