Conversation: The conversation between human and AI assistant.
[|Human|] I am an acupuncturist with 20 years experience. Im treating, 32 year old male patient who, 2 years ago, was diagnosed with colon cancer. He had the colon removed, has been through chemo and has been cancer free for two years. Sunday he was rushed to the ER with severe upper abdominal pain that brought him to his knees. Prior to this event he was still having slight drainage but after the painful event the drainage has stopped. He is waiting the results of the scans and is worried sick that the cancer has returned. Two weeks ago he was checked by his oncologist and all looked fine. Is it possible that the bowel was impinged? He was been very active and even playing soccer with no problem.Thank you, Jackie Bensinger, L.Ac.
[|AI|]  Hi, What portion of colon was affected by cancer should be mentioned. There are many types of operation depending on part of colon to be removed. So details of the operation should be mentioned. Severe upper abdominal pain that has occurred suddenly not related to cancer recurrence. These symptom sounds like peptic perforation. What the management has been done and what the other imaging done to be mentioned also. Many a time straight X-ray abdomen in erect posture can give a clue.