Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I am experiencing abdominal pain below the naval area for 6 days now. The pain comes and go s throughout the day & night, sometimes mild other times really severe to the point of hot sweats. I have been diagnosed with ibs and have been managing this for over a year now with various medications & a change of diet. However this particular pain I am experiencing at the moment is not like any other I have had in the past, the way to describe it is a stabbing, sharp intense pain in the stomach which is sometimes relieved either by a passing of a stool or wind (both of which have been normal). My stomach now feels bruised to touch. Please could you advise?
[|AI|]  HI. All your history is suggestive of a severe infective pathology going on in the abdomen. This can be enterocolitis, lymph node mass, cancer, diverticulitis. IBS may not be present at all, there can be a specific reason.l Please get thoroughly investigated by endoscopies/ CT scan / Diagnostic Laparoscopy and all other relevant tests. I think you need a Surgery and hence contact surgical gastroenterologist.