Conversation: The conversation between human and AI assistant.
[|Human|] Hi I am a 39 year old female. I am 2 days into my menstrual cycle. After several hours of cramping and a hot bath I passed a lot of blood, a huge clot and a bean sized encapsulated mass. The mass is soft. The tissue is slightly transparent with what like like little blood vessels in it. It literally looks like a bean.  Any thoughts on what it might be? I had my tubes tied over 12 years ago. I have also had symptoms that I thought were gastrointestinal, but tests at the ER ruled out colon problems and gall bladder. Symptoms are: frequent urination, Abdominal pain and bloating, difficulty breathing, hot flashes, fatigue. I also fill up quickly after eating. Ive recently cut out gluten thinking the bloating and pain were related to a gluten sensitivity but the pain and bloating persist. Any suggestions?Thank you
[|AI|]  Hi. The symptoms of frequent urination, Abdominal pain and bloating, difficulty breathing, hot flashes, fatigue. I also fill up quickly after eating are suggestive of a generalized disease like enteric fever or so. You have to get all the relevant blood, urine and stool tests as per the clinical findings of a Doctor on clinical examination. You will need an antibiotic course and supportive treatment. The encapsulated mass line a bean can be in fact be a polyp of the uterus. Since your tubes are tied for such a long period, it is not likely to be fetus. So nothing to worry about. Get an ultrasonography done as this will help for the diagnosis of the genitourinary system, PID or any other findings.