Conversation: The conversation between human and AI assistant.
[|Human|] i have under gone ovariohystrectomy before 20 years as i suffered some sort of uterine cancer . had radiation also post operative .since then i m facing many problems related to my g.i. tract and u.t.i also.having done all possible test for my suffering i could not get any possible treatment for high puscell in urine .treatment has been given according to the culture of urine but no good response since more than 5 years. please sujjest the possible causes and correct line of treatment
[|AI|]  You are suffering from both GI and urinary symptoms. With background of uterine cancer with surgery and radiotherapy, we need to rule out possibility of any local recurrence of the same or colo-vesical fistula. You need to undergo USG abdomen/CT scan abdomen pelvis to rule out any local recurrence. Also should consult urologist for cystoscopy and related investigations to rule out chronic cystitis, ureter stenosis and fistula.