<s>[INST] I am having pain in my very low abdomen, both sides. I feel the pain a little worse when I take a breath. It also hurts when I strain to have a bowel movement. It is also worse when I have a full bladder, however, urination does not relieve it. I had my gallbladder and L. ovary and tubes removed April 29, but feel I have been fine to this point. Although, the pain is directly beneath the 2 small incisions made to remove my ovary and tubes,I feel like it is my large intestine. FYI I do still have my appendix. [/INST] Hi.The history of Gall bladder and tubes and ovary noted. The typical pain in lower abdomen, which increases on breathing , pressure and full bladder indicate for peritonitis. I would advise to undergo tests of blood to see for infection, urine and stool. Ultrasonography to detect any collection pocket of pus after the surgery. If peritonitis is present and NOT getting resolved, you may need exploratory Laparotomy or Laparoscopy to determine and treat the cause. </s>