Conversation: The conversation between human and AI assistant.
[|Human|] I am 47 years old and have been experiencing sharp pain in my left lower abdomen. The pain is severe and burning - like someone is sticking a hot poker in my left lower abdomen. It extends through to my back and down into the left groin. I have not had a period in 5 months but the past 4 days have been spotting to where I have to wear  a light tampon and I see little bits of clots and tissue when I go to the bathroom sometimes. I have just a very slight fever. But I am having trouble bending over to pick something up or sitting down due to severe burning stabbing pain. Should I be concerned or do you think it will pass? I have two year old twins and am not really wanting to take them to the hospital but it has kept me up the past 3 nights and is just so painful. Any advice would be most appreciated!
[|AI|]  Hello, Thanks for the query to Chat Doctor. Forum. I would come up with these possibilities for such type of excruciating pain with clots, This includes.1 Left renal stone, diagnosis can be confirmed by ultrasound of abdomen with emphasis over left side kidney. As you mentioned that there is pain radiating to the back and on front side in groin. This is a typical characteristic feature of renal stone pain.2 Ovarian cyst may be the next reason as all indication are an indication of pain in left ovary. Diagnosis can be confirmed by ultrasound of left ovary.3 Dysfunctional uterine bleeding sometimes causes pain in this side. Diagnosis can be confirmed by ultrasound of uterus. In my opinion this is a cause of concern so consult a physician and get his opinion. Good luck.