Conversation: The conversation between human and AI assistant.
[|Human|] GOOD MORNING, I HAVE A 27 YEAR OLD DAUGHTER THAT SUFFERS FROM CHRONIC LOWER RIGHT ABDOMINAL PAIN, SHE HAD A LAPAROSCOPY SEVERAL YEARS AGO AND FOUND THAT ADHESIONS HAD ATTACHED THE BOWEL AND APPENDICTS TOGETHER, SHE HAD HER APPENDIX REMOVED BUT THE PAIN PERSISTED. SHE HAS HAD 29 ULTRA-SOUNDS ALL CLEAR BUT THEY FOUND ALOT OF ADHESIONS. SHE IS ON ENDONE FOR PAIN RELIEF, BUT CANNOT GET ANY ANSWERS AS TO WHY THIS CONDITION IS GETTING WORSE . SHE HAS A CYST ON EACH OVARY BUT THIS WAS ONLY RECENTLY FOUND. THE PAIN CAN COME ON AT ANYTIME AND TRAVELS DOWN HER LEG CAUSES NUMBNESS. SHE ALSO HAS A SMALL HERNIA. SHE HAS BEEN TO SO MANY DOCTORS AND THEY SAY THEY CAN T HELP HER, SHE IS DEPRESSED. I DO NOT KNOW WHERE TO GO FROM HERE, CAN YOU HELP? KIND REGARDS
[|AI|]  Hi. Thanks for your query for your daughter and an elucidated history. Read the whole history about surgery, adhesions and now recently cysts on ovary. As you have explained that the pain can come anytime and travels down the leg, a suspicion about the involvement of the Prolapsed Interval Disc arises and can be diagnosed only by the MRI of the Spine. So go for the MRI of the spine-CT scan of the abdomen-Enteroclysis for the possible finding of the intestinal obstruction. The adhesion has a natural tendency to develop as a natures way of protecting the intra-abdominal organs, but in this case it over-reacts to cause a problem. If a specific problem is found on any of the investigations, your daughter has to go for the surgery for the said cause. In the meantime take Doctors opinion and treatment to improve her nutritional status, proteins and hemoglobin as deficiency of these give bad surgical results.