Conversation: The conversation between human and AI assistant.
[|Human|] Dear Doctor, i m 33 years old i have a very bad pain in my back and stomach wich get worse during the night for more than 3 months even i can t sleep after 2 o clock i wake up tell morining when my stomach start to some noise i can sleep ( stomch is geting sowllen and full of gas). kindly assist me. thanks
[|AI|]  Hi, your symptoms might be because of parasitic infection guardians better to use a course of Flagyl medications oral 500 mg twice daily for five days after asking your physician It may be because of pancreatitis and gallstones it will be better to avoid fatty food, smoking alcohol and other modifiable risk factors(smoking, alcohol weight reduction)It will be better to undergo ultrasonography and stool examination, serum lipase levels once AMD start the antiprotozoal for guardians after Consulting your physicians but not least avoid fatty foods, smoking reduce alcohol intake, wieght loss will help.