### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello. My name is Tim. I have been having extreme lower stomach pain and constant diahhrea. The pain prevents me from eating and is extreme. It has seemed to settle in my pelvic area all the way around. I went to a GI and had an upper and lower scope. They told me nothing except for moderately inflamed stomach (unexplained). Take pepcid and maalox. No effect of course. None of this happened until I had two back surgeries. A failed laminectomy and a double fusion later in the L4-5 S5-1 discs. They just tell me to go back to my GI (in their group), but it seems a waste of cash since work fired me for my back injury, so no insurance. I am also under psychiatric care for bipolar/manic depressive conditions. Any ideas? I am also getting constant leg and hand cramps/spasms. Sometimes my hand will clamp up and I have to stretch it and wait it out. The leg spasms make me jump out of bed thrashing until it stops. Pls help if possible. It feels like I have a piece of metal lodged in my gut/upper duodenal area.

### output:

Dear Tim, I have gone through your case history very carefully. As your upper and lower scope result is normal it seems that nothing is so serious about your gut. The pain and diarrhea can be due to excessive acid secretion. So this can be cured by taking medicines like sanitizing regularly .then as far as your pain and spasm in legs are concern it is because the spinal nerves have been affected by failed laminectomy and later double fusion in L45 and L5S1 region.to get relief from this pain try some home regimen of back muscle relieving exercise like flexion exercise. But certainly you should continue your treatment for Bipolar/manic depressive condition. Otherwise it will aggravate your pain.my best wishes for you in coming days. Thank you.