Conversation: The conversation between human and AI assistant.
[|Human|] I have had pain starting in my lower left abdomen that goes up to under my rib cage and radiates to my back for approx. 7 months. The pain seemed to have started after doing situps, which I have been doing for approx. 20 years. I have had an mri, colonoscopy, ct scan, ultrasound and all were negative. I am 3 weeks post op for a hysterectomy due to a somewhat large uterine fibroid thinking that might be whats causing the pain. My chiro seems to think it might be due to a cracked left rib 30 years ago, and the upper and lower left pains are unrelated. I had a complete heart workup done 1-1/2 ago and was normal. Im not sure what my next step should be. Thank you
[|AI|]  HI.IF all the investigation you mentioned are normal, my thinking would be towards the neurological problem and your history is also suggestive of this ::: it says pain starts in left lower abdomen that GOES under rib cage and RADIATES to the Back. I would suggest repeating the MRI of the whole spine (if not done) and an opinion of Neurologist. Nerves can be entrapped anywhere during its course and can not always be found. A course of Gabapentin under the direction of your Doctor on an empirical base may help you a lot.