Conversation: The conversation between human and AI assistant.
[|Human|] my son, age 45 has acute gall bladder symptom pain since march 2016. many tests all show normal pain has progressed until his whole body hurts and he now has shivers sometimes 2-3 times daily. Health Care Partners say they cant help him. They have exhausted all tests. He  has not had a fever & blood pressure normal.  He always feels terrible & so sick with pain.  He is disabled since age 4 head trauma, hit by car.  Has va shunt now but has abdominal scar tissue from vp shunt.since age 4.  Where can we get help forhim. He has medi/medi HMO.  Considering changing to Kaiser.
[|AI|]  Hi. Thanks for your query. Noted the history about your son and understood the concerns. Since he is suffering since the age of 4 and now is 45 means 41 years there is some problem and as you have already mentioned the problem looks to be related to the changes that the VP shunt has caused. There would have been infection and thence formation of fibrosis and adhesion and so on. Since you have said all tests done but not mentioned any, I would advise you for the following if not yest done. Contrast enhanced CT scan and thus Enterocolitis to see if there is any intestinal obstruction. MRI of the back to see if there is any problem of the spinal cord causing neurological pain. And the best resort is to go for diagnostic Laparoscopy or laparotomy so that the cause can be found and treated.