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

### input:
I am having severe abdominal pain, flank pain, pelvic pain, nausea, vomiting, diarrhea, constipation, lower back pain, pain in middle of the back, pain in upper-center area under the breastbone, pain when urinating, feeling of needing to urinate frequently, feeling of full bladder, intense pain in pelvic and bladder area, left side lower back left side. Medical history is surgeries: Hysterectomy, Appendectomy, Tonsillectomy, Gallbladder removal. Do you have any idea what this could be? The Dr. s where I live do not seem to care to figure this out.

### output:

Hi ! Good morning. I am Chat Doctor answering your query. From your history and symptoms, it seems that you might be having a pelvic infection (PID) associated with a urinary tract infection (UTI). If I were your doctor, I would advise you for a urine test (routine, microscopic, and culture/sensitivity test), a complete blood count (CBC), a blood sugar test, gram-staining and culture sensitivity of vaginal discharge if any and a review ultrasound of abdomen to rule out any other intra-abdominal pathology. Till the reports are ready, I would advise you for a brand spectrum antibiotic along with a probiotic, a proton pump inhibitor, and an anti-inflammatory Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.