Conversation: The conversation between human and AI assistant.
[|Human|] I am a female,54.  One and a half years ago I was diagnosed with rectal cancer.  I had radiation everyday for 5 weeks along with chemo 24/7 for the same 5 weeks.  Surgery followed this.  The part of the rectum that was cancerous was removed along with 32 lymph nodes.  The pathology report stated that I had clear margins and no lymph nodes were  cancerous at that time.  Before the radiation and chemo, I was told a few lymph nodes were enlarged,they looked suspicious----maybe cancerous.  I had an ileostomy for 7 months.  During these 7 months I had chemo (folfox 6) every 2 weeks for 4 months.  At the end of the 7 months the ileostomy was reversed.  I have regular check ups and everything so far is good.  I also have severe peripheral neuropathy from chemo.  This developed 2 months after chemo was done,  I have seen a specialist for this as the burning was more than I was able to handle any longer and it was keeping me from sleeping.  For this problem I take .25mg ropinerole which has taken the burning away but not the pins and needle and numbness feeling.  I am able to tolerate and sleep now though.  I also take paxil 20mg for anxiety and zopiclone 7,5 mg for sleep.  Anyways, for the past month I have been having upper abdominal pain, just above my belly button.  Its a throbbing pain not real severe, but it can get real bad , mainly at night.  When it gets bad at night  the pain is like contractions.  They spike and then subside.  It can go on for hours during the night.  For a few days after a bad night my abdomen is tender.  After the tenderness goes away I have no pain for maybe a week and then I have another spell.  No other symptoms.  Just wanting another opinion.  Thank you so much.
[|AI|]  HI. You have put the history nicely. After such a major therapy in the form of Chemo plus Radiotherapy and Surgery some sequels are expected. From the history submitted by you, this may be due to subacute intestinal obstruction. It is better to get the investigations done such as Abdominal Sonography and may be Barium Enema, enterocolitis or colonoscopy whichever your treating Surgeon feels important. In the meantime please take some mild stool softeners.