Conversation: The conversation between human and AI assistant.
[|Human|] My grandmother was having pain that comes and goes in her lower right abdomen . She though maybe a hernia because it feels like pulling but when pain comes it is severe. When the pain is present she has a metallic taste in her mouth. Her doctor ruled out hernia with a sonogram. He seemed not concerned, but it has been persistant and going on for about 7 weeks. What other things could it be that we need to rule out? Thank you for your help
[|AI|]  Hello There many causes of pain in abdomen. In grandmothers case it could be following:1. Constipation2. Kidney/ ureteric Infection or stone3. Colon cancer - occurs in elderly patients and manifests as constipation or change in bowel habits, chronic abdominal pains, and remarkable weight loss. 4. Pelvic inflammatory disease 5. Inflammatory bowel disease -a chronic inflammation of all or part of the digestive tract, 6. Intestinal ischemia, diverticulitis7. Medication reaction or side effect These causes can be ruled out by stool examination, imaging and certain blood test I hope this will help Best wishes