Conversation: The conversation between human and AI assistant.
[|Human|] I have this aching pain in the middle of my abdomen, but above my stomach right under the rib cage. Its been here for the past week and happens only once a day, usually when I wake up. The pain isn t sharp but as if someone is squeezing whatever is there. I m over-weight for a 21 year old but haven t had this problem before this week.
[|AI|]  Hi. Thanks for your query and an elucidated history. Since you have given a classical history of pain only once a day and that too when you wake up; and is related to the upper abdomen, the cause of this typical pain which is not sharp and appears as if someone is squeezing is most probably due to Colitis of the transverse colon. This is the part of the large bowel lying in the area you mentioned to have pain. The pain is in the morning as it is normal to have the body-clock to cause the contraction of the large bowel (colon), to facilitate the passage of stool (bowel movement).Hence, you are getting the typical pain. I would advise you the following:Get a course of an antibiotic and metronidazole, probiotic for 5 days and see the results. If it cures up, you are fine. If no relief, you have to undergo colonoscopy and CT scan of the abdomen and stool test to see whether there is an internal problem. The further treatment will depend upon the results of investigations.