Conversation: The conversation between human and AI assistant.
[|Human|] hi ive not had a period in four months inspite taking gynacosid and i feel if this is related to menopause /? i have also developed spasmic pain in my lower abdominal region on the right side. ive had my apendicitis removed.what could be the reason for the pain? im 49 years of age
[|AI|]  Hi. Thanks for your query. I would be difficult to tell the diagnosis on half history, please provide more history related to fever, duration of pain, Any associated nausea, vomiting, distension of abdomen. The best diagnostic too is ultrasonography to start with. It may wall thickening of the illogical junction, meaning the joint of small and large bowel from where the appendix is removed; ovaries and tubes, lymph nodes and other related structures like ureter. CT scan can be done to confirm the diagnosis and plan for the treatment.