Conversation: The conversation between human and AI assistant.
[|Human|] Hi, Im a 22 yr old female and im having chills, my temperature is a bit high, and what felt like a stomach cramp earlier in the day, now feels like something is moving inside my lower left abdomen. The same sensation has traveled to my left shoulder a few times. Ive only taken extra-strength tylenol (for the cramping much earlier) which hasnt helped. My medical history includes gastritis 2-3 yrs ago and abnormal lungs that give me shortness of breath. Can you please offer me any guidance? Ive experienced this sensation once before but i ignored it, and im worried...
[|AI|]  Hi. Thanks for your query. Read the history and understood your problems. Female of 22 gets chills, fever, feeling of something moving in the left lower abdomen, referred to left shoulder too, Tylenol not helping. Past history of gastritis and abnormal lungs giving breathlessness. The probable causes of such a pain can be :Intestinal infection giving gases and the intestinal movement giving the feeling of something in the abdomen. A dilated loop which is inflamed and touches the diaphragm can cause the sensation in the same side of the shoulder. I would advise you the following:-Standing X-ray of the abdomen. Ultrasonography of the abdomen to see if there is any fluid. Blood collection in the peritoneal cavity and touching the under-surface of the diaphragm. Once the diagnosis is made, get a treatment as per the cause found ...