Conversation: The conversation between human and AI assistant.
[|Human|] I have frequently and for a long time had a pain in my lower front left side. Feel sure it is gastro and or connected with bowel movements and gas. Lately it is worse. Today so bad I could cry I am home in Texas after a long and difficult flight from Hawaii. Two years ago I had hiatal hernia surgery and this may be part of the change. Summer of 2014 I many tests and was told it was nothing. Please help. I am in misery.
[|AI|]  Hi I am Chat Doctor, I will help you with your problemWhat I gather from your question-pain in left lower abdomen-there is previous history of such pain- it is sever in intensityBased on given information, it looks like LEFT URETERIC COLIC. But this definitely needs further history taking, clinical examination and some lab test. History will include your gender, age, onset of pain, nature of pain e.g. colicky? , radiating to penis or scrotum, burning micturition followed by clinical examination of abdomen and pelvis. If such a patient walk into my clinic I recommend urine routine examination, blood complete picture and ultrasonography abdomen and PUB (kidney, ureter and urinary bladder). I hope this will help you and wishing you rapid recovery. Do rate my answer if you like it. Regards