The conversation between human and AI assistant.
[|Human|] Hi I have had pain in my lower right abdomen for years. Every emergency room doctor has thought it was my gallbladder but nothing showed up in any tests. I even saw a G.I. doctor and he couldnt figure it out. Lately I have theterrible pain again along with some vomiting and diarrhea feels a little swollen and the doctor said its very tender. I had a cat scan done with the dye. The only thing it showed was a 18 mm ovarian cyst. Could this be the cause of my pain for so long? What treatment is used for a cyst this size?Thanks.
[|AI|]  Hi.18 mm cyst cannot be the reason for pain at all. No treatment other than review Ultrasonography is required for this. As for your Pain in Abdomen::: Pain in right lower abdomen for years. If everything is normal in tests, we can consider this as a case of colitis/ appendicitis. All cases of appendicitis/ colitis may not be shown in CT scan. I would advise such a patient to undergo first the colonoscopy and if desired diagnostic Laparoscopy. If there are signs of appendicitis or obstructed appendix or any other problem, it can be tackled at the same time (therapeutic Laparoscopy). All this to be done after a course of appropriate antibiotics, metronidazole and supportive treatment.
