Conversation: The conversation between human and AI assistant.
[|Human|] Hello doctors, I have been suffering for about six months now with moderate to sever pain in my abdominal cavity, Serveral specialist are working on diagnosis, however, it can be hard to make sure all the doctors see all the notes. In addition to pain I am swollen enough that people think im about six months pregnant. some of the diagnosis include pain primarily on the left side of my abdominal and in the left side in the back. I have three cyst on left ovary and one cyst on the right ovary. I also have a cyst on the left kidney. I often have difficulty urinating in that is necasarry to strain to void. Recently a umbilcal hernia was repaired successfully. All cyst appear not maliginant.. I do have ibs and diverticulitis and am positive for h pilori. I have pain when eating that is basically like pressure and achey. Most of my pain is on the left abdomen about natural waist down to the pelvic area in that pelvic area is the greatest pain
[|AI|]  HI. Thanks for an elucidated history. You have IBS and diverticulitis. And this may be the reason for pain and bloating you have. On a safer side go for CT scan of the abdomen and colonoscopy and biopsy to prove or rule out any other pathology. CT will help to know the status of the ovary and the cancer potential and if required a diagnostic laparoscopy can be undertaken to have a proper diagnosis and may be for the treatment as per the findings.