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

### input:
Ive been having abdomen pain for about three weeks or so. last week i went through e.r. due to pain located on my right side around the middle part of my ribs i guess. mt lower back hurts from time to time. the pains are sharp and i couldnt walk and everytime i breathe it hurts. my breast get tender and it feels like o wanna throw up. i got my tubes tied 13 years ago and a partial hystetecomy 2 years ago. i find myself going to the bathroom alot. i feel something moving around the right side. whsts going on? Also on sept. 17 i went through e.r. cause o was constipayed. now im fone. can you help me?

### output:

Hello there!  Pain is the gift of procedures, bowel chemistry changes, adhesions occur after manipulation, tubal ligation and hysterectomy, so nearby adhesions might be the reason for your pain, Going often to washroom explains frequency issues. Is it urine or stools, if urine get a urine routine exam and if stools modify the diet with more fiber in it. It hurts on breathing with kinda want to throw up these symptoms occur when gall bladder is in trouble. Tpo be on the safer road do a simple ultrasound abdomen and pelvis with serum amylase urinary amylase to lipase ratio and plain digital abdominal X-ray AP view. Constipation gives a suspicion of ovarian pain, chocolate cysts are associated with alternate diarrhea and constipation. An ultrasound will help. , meanwhile try some antispasmodics like season, and NSAIDs, I hope this would help, I am here if you need me regards Chat Doctor. 