Conversation: The conversation between human and AI assistant.
[|Human|] I am 54 yrs old have never had any bowel problems over the yrs, never constipated, eat a good healthy diet and do not smoke or drink. My question is that I am having moderate to severe pain in the upper left side of my abdomen, directly under my rib cage.  I have had the pain for 2 and half weeks.......I am getting a coloscopy next week.  I have had blood wrk just the standard CBC which is normal and no injuries to my abdomen, why am I in so much pain?
[|AI|]  Hi, Thanks for writing to Chat Doctor and for your detailed history. But I need further information regarding any recent history of trauma. Have you lifted any heavy weight recently, what are the factors aggravating your pain, any history of hypertension/diabetes if I were your treating doctor I would first take ECG considering your age, and ultrasound abdomen and pelvis most probably it is just muscle spasm as your CBC is within normal limits infectious cause can be ruled out, and no history of altered bowel habits(so intestinal disease unlikely), my advice is to take T.AEROSOL SP 1-0-1(after food) and T.PAN 40 mg 0-0-1 (before food)for 3 days.before that I advise consulting physician with ECG and ultrasound abdomen if both are within normal limits and symptoms not relieved with above-mentioned analgesics, consult neurologist to rule out spine pathology Hope I have been helpful. Regards Chat Doctor.