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

### input:
I have been experiencing lower right abdominal pain (pelvic area) for about the last three weeks. I ended up going to the ER two times where they have done lab work, scans, ultrasounds with no results. I have seen my primary dr who also had me go through testing. I had an upper GI and lower intestine test done and that showed nothing either. He sent me to a ob/gyn who I saw and he said it probably is bowel related or muscular. I had a 2nd opinion done with another ob/gyn and she thinks its also bowel related, so now I have followed up with my primary dr again who has now referred me to a GI dr who I see next week and will probably end up having a colonoscopy done. My gut feeling is it is not my bowels but rather a female issue because I had severe pain when I was in the ER and I was also spotting at that time. Please tell me what you think as I am now frustrated and down and depressed because I am not getting any answers!! Please help!!

### output:

HI. Thanks for your query. Since you have been seen by many Doctors at the ER, you Primary care and 2 Gynecologists, I would be wondering what the problem would be as you have also gone through the tests. I would advise you to see the Gastroenterologist next visit as appointment has already been done, In the meantime ask you Primary Doctor to treat this as intestinal infection or IBS. Get a course of an antibiotic, metronidazole, probiotic and anti-spasmodic medicines along with the stress buster medications and your problems may be over. If all the tests are negative, get treated as IBS and go for a second opinion of the Surgical Gastroenterologist, He may advise you Diagnostic Laparoscopy which may find the root cause such as PID, Appendicitis, Lymph node mass or problems related to the Ovaries and tubes. Get treated accordingly.