Conversation: The conversation between human and AI assistant.
[|Human|] In oct 2011, I had a severe heartburn incident in which I took 4 Pepcid complete tablets in 12 hours. Over the next several days, I have developed a severe lower left intestinal pain that radiates in the side and back area. The painful spot is permanent and will not go away. Antibiotics have helped, but only to a point. I cannot sleep on my left side, the pain that arises is terrible. Is this necrotising entercolitis? I am 52 yrs old with a history of IBS and excessive acid, Pepcid usage has been higher in the prior 6 months.
[|AI|]  Hi, The cause of abdominal pain should be identified. Upper gastrointestinal endoscopy and abdominal ultrasound should be done. Your symptoms mostly suggest peptic ulcer complications. Helicobacter pylori is a bacterium that can cause gastritis. A course of multi- Chat Doctor. Injectable proton pump inhibitors may be required to reduce complications and heal the ulcers. Also, any history of fever, blood in stools, renal stones or diarrhea should be ruled out. Hope I have answered your question. Let me know if I can assist you further.