Conversation: The conversation between human and AI assistant.
[|Human|] I have been having a problem with abdominal distention (looking like I am pregnant) for about 5 months now off and on.  I have been swelled since Aug 8th this time.  6 years ago I had surgery for the same type of issue where they said my intestines were too long and they adhered part of it to my side instead of removing any.  I went to a gastroenterologist a couple of months ago and he was concerned that I had fluid in my abdomen - then he noticed spider angioma on my chest so right away he thought liver.  I had all kinds of bloodwork done for the liver and an ultrasound and all of that came back normal.  When I went back to him, i was not swelled and that was great.  When i swelled again, i called and he brushed me off saying it was constipation.  I have never been an every day person. Every 3 days is my normal.  i really dont feel that is the problem.  He went from concerned to patronizing.  I really dont hurt (except in my upper abdomen - right under the middle of my breasts).  Im just very uncomfortable.  I feel like going to an emergency room in a great hospital and just saying ok here i am... please find out what is wrong with me.
[|AI|]  Hi. Thanks for your query. Bloating or distension with going for a poop once in 3 days can indicate a problem with the large intestine causing the distension without much pain, nausea or vomiting. I would suggest you the following:First, preparation of the large bowel first with enema and then with peg lac, you have to undergo the Colonoscopy. This will help to see the entire colon, take a biopsy from the suspected area to determine the cause. This can be in the form of a cancer or a hypoperistaltic segment with distension and so on. Secondly to go for contrast enhanced CT scan of the abdomen to see if there are signs of obstruction, mass and so on. The Enterocolitis done by an expert Radiologist can help to know the intestines in detail. Second-look Laparoscopy too can help a lot to have proper diagnosis and gives a plan for further management.