Conversation: The conversation between human and AI assistant.
[|Human|] Hi - Twice in the past week, I had severe cramping after dinner on left abdomen side. It s a painful tightness that comes and goes for about an hour until I hear a gurgling and feel movement followed by diarhea. At the onset my mouth starts to salivate like I m about to vomit too. I m thinking IBS, but not sure. I m a 55 year old male, no blood in stool. I take 50 mg Losartan for 1 year with no problem. I didn t eat anything unusual and I ve been taking Metamucil every night before bed for past 30 years. Not sure what to do.
[|AI|]  Hi. Thanks for your query and an elucidated history. You have a typical problem. The mouth starting to salivate like feeling of vomiting, pain after food and need to go for passing a motion - diarrhea, gurgling all indicate that you have an inflammatory problem in the intestines. This is a classical problem always forgotten. I would advise you the following:-Initially a 5-day course of an antibiotic, metronidazole, probiotic to see the results. If no complete relief, then you have to undergo CT scan of the abdomen and upper GI and lower GI Endoscopies . The further treatment will depend upon the diagnosis. Please continue the medicines as you already have been taking as these medicines have no sucChatDoctorplications.