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

### input:
I am experiencing a pain in lower left abdominal portion possibly near lymph which transmits to left leg and left back since two and half years. Many investigation including usg, mri have been conducted which shown normal.since last year I am suffering from some skin disorder which started as white patches on my face which is now converted to patches with hair loss from my beard and mustache. And also I have been detected with ulcerative colitis since three months and I am consuming melamine tab for that. At present my esr level is 25. What can be my problem. Is it auto immune system disorder. How can it be cured. What are pathological tests to confirm this. ---mr Rajasekharan, India

### output:

Hi Rajasekharan. Thanks for your query and an elucidated history. Since you are a diagnosed case of Ulcerative colitis taking Melamine tablets, the cause of pain on the left side of you abdomen is obviously due to colitis. Urine tests may be normal in this condition. The skin disorder is due to fungal infection hence there is a hair loss. Please consult a Dermatologist for further diagnosis and treatment. Yes, there can be an autoimmune disorder, and you need steroid by enema or orally to get a control of the colitis and pain. There are no specific pathological tests to determine this and ESR has no diagnostic value at all. 25 is not very high. So do not bother about is unnecessarily. Consult a Gastroenterologist to get an appropriate treatment and remember this is a problem which can be recurrent. Stress and anxiety play a very large art in causing such problems, hence you have to keep them under control at any cost. Melamine alone may be not sufficient, and you may need an additional treatment