<s>[INST] I just found out I have uterine fibroids, the largest 5cm, but I went to see a specialist and she is more concerned about my lower left pain I ve had for 4 straight days which brought me in the ER. She said fibroids don t give that kind of pain because I don t have heavy flows. It felt like contractions in my lower stomach and near my left overy. (I had an ultrasound 1 day ago and my overies are fine. What else could it be (I already know I have fibroids) Could it be appendix? [/INST] Hello,As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. Consult a general surgeon and plan for an ultrasound scan to rule out conditions like renal or ureteric stones.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>