Conversation: The conversation between human and AI assistant.
[|Human|] Hello.  I had a hysterectomy 1 year ago due to pain in my lower left stomach and back.  I also had very heavy menstral bleeding.I am 50 years old.   I am still having the same pain after a year.  I went back to the doctor, they did test and determined that it was muscle related.   To me it appears to be associated somehow with my bowels.  When I go, my stool is usally wrapped  in mucus or small hard like pellets.  Some times Ill have a normal stool.I have also had a colonoscopy and a sigmoidoscopy,  whicChatDoctore out normal.  Now the pain happens after I use the bathroom.  What could this be?
[|AI|]  Hi. Thanks for your query and an elucidated history. Hysterectomy was done for a reason-for heavy menstrual bleeding and pain in abdomen. Persistence of pain is indicative of a cause to be investigated. History of hard pellets like stool and mucus in it suggestive of colitis. As per the history you have provided this looks to be a case of IBS meaning irritable bowel syn Chat Doctor.  I would advise you to undergo the following tests:-Consult a Gastroenterologist.-CT scan of the abdomen to rule out any internal growth or cancer -Treatment for IBS to be started as early as possible.