Conversation: The conversation between human and AI assistant.
[|Human|] hi i am 21 years old girl a medical a third year mbbs studenthave got severe pain in abdomen around umblicus i have been prescribed metrogyl compound but no change
[|AI|]  Hi Sana, Welcome to Chat Doctor. Pain around umbilicus which shifts to right Iliad Fossa, is typical of Appendicitis. You have not mentioned whether your Stool examination was done prior to starting Metro, because it is the Chat Doctor.  If you do not have Amoebas, metro alone is of little value. Better get an Ultrasound Study done as well as routine blood test to rule out infection (Appendicitis), since Total count of WBC of more than 11000 with necrophilia is indicative of infection. Of course a surgeon can also provisionally diagnose appendicitis by eliciting rebound tenderness at McBirney Point. It is prudent to avoid blind treatment. As far as possible a firm diagnosis supported by investigations is ideal, before starting any treatment, exception being relieving the patients' agony by immediate management of that agony. Wish you speedy recovery.