Conversation: The conversation between human and AI assistant.
[|Human|] Yesterday I had severe lower abdominal cramping. When these cramps happen I usually have to use the bathroom. However yesterday I could not. This is gonna sound funny, but it seemed like my butt wouldnt open up to go. Finally I took a suppository childrens at that because I couldnt think of anything else and just wanted to go and stop the pain. I finally did go a few time after about a 5 hr period. I am on my period. However I almost never have these cramps or if I do they are not severe like these were.  I am 39 yrs old and weigh 145 and 5 feet 9 inches
[|AI|]  Hi. Thanks for your query. Undergone through your history carefully. This is suggestive of colitis, where you have census- meaning pain and feeling like going to the toilet. But nothing comes out except for some mucus in some cases. Due to the periods, there is congestion in the pelvic area, and this may add to the problem. I would advise you to take a course of an antibiotic active against intestine and symptomatic treatment like anti-spasmodic tablets. Take plenty of oral fluids. If necessary the oral rely Chat Doctor. Wait and watch. If the problem becomes recurrent you may need a colonoscopy and other investigations like ultrasonography / blood / urine and stool tests.