Conversation: The conversation between human and AI assistant.
[|Human|] hello, i am a 27 yr old female and have had abdominal pain for 2 weeks now. It started suddenly around my belly button and is a very sharp pain. the pain comes and goes lasting anywhere from 1/2 he- 3hrs. the pain has now moved to the lower right side and i have nausea and diarrhea with the pain. when the pain subsides i have no other symptoms. I had an episode like this about 9 mo ago and after a normal CT scan , untrasound and blood work i was diagnosed with constipation . I dont want to go to emerg if its just that again, but the pain is really bad and i have alot of diarrea so i dont think i could be constipated. should i go to my family dr? the ER? or just wait another week or so and see what happens??? please help!
[|AI|]  Hi.the pain what you have described is very typical of appendicitis which starts at umbilicus (belly button) and goes to right Iliad fossa (right lower abdomen).this type of pain may be very sharp and may be associated with nausea, vomiting, fever and sometimes diarrhea. Since the pain is now 2 weeks old it might have gone to subacute appendicitis. Other possibilities are colitis, Nickels diverticulitis. Your previous episode seems to be a different one. So my advice is got yourself examined and investigated by a surgeon as early as possible to come to a diagnosis and treatment accordingly. Hoped I have helped you.