<s>[INST] distended, uncomfortable bellyfor the last couple months (worse in the last week) I have had a bloated, uncomfortable abdomen. it is distended. I have cramps that come and go. my bowel movements are inconsistent. sometimes they are small and hard, sometimes the strain causes small amounts of blood. when I have a bowel movement, I don't feel satisfied.  nothing is helping. I drink a lot of water, eat healthy and take probiotocs. I am a 27 year old woman. I have a son that was born on 1/30/12 and i am still breastfeeding. my last menstrual cycle was in April of 2011.  I am 5'7 and 150 pounds. I am otherwise healthy and have never had stomach problems before. I am not on birth control or taking any medication. [/INST] HI.The causes of the bloating and pain in abdomen with all the other problems you have told can be due to :Intestinal infection, IBS or diseases like tuberculosis. First of all undergo a course of an antibiotic and Metronidazole for 5 to 7 days along with probiotics you are already taking. IF there is a complete relief, nothing to worry. If there is no relief , you have to go for further investigations::Blood, urine and stool tests.Ultrasonography and CT scan colonoscopy to rule out any ulcerative lesions or cancer or tuberculosis. The investigations will lead to the diagnosis and further treatment.' </s>