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

### input:
hello doctor, i am 21 years old. i am about 5ft 5 , i weigh 60 kg, i am a female, i am of the blood group AS. i usually have abdominal pain just a little above my pubic area and its usually painful and affects my standing position. whenever this happens, i feel very bloated as my stomach becomes bigger, when this happens, i go to the toilet and after easing my self and letting gas out i feel better. but the problem is, it happens frequently. however, some months back, i had a scan which showed a bulky non gravid anteverted uterus with heterogeneous echo pattern. i have always had the pain even before i had the scan and after also. i also have menstrual cramps during my cycle which lasts at times for a day or two. before the scan, i had a medical abortion in which the pregnancy was about 4 weeks and 3 days old. pls doctor, i am confused and dont know what to do. i need your advice. what is the cause of this abdominal pain? does the M A have any thing to do with my scan result? what can i do ? Thank you

### output:

Hi;welcome to Chat Doctor The cause of your abdominal pain above the pubic region can be due to infection in pelvic region;may be due to bulky uterus;infection of intestine that is lower bowel/rectum but as the pain gets relieved it could be due to census if the pain comes and goes on its own after some time and is better after passing stools or gas. This sort of pain if you have it could be due to infection of intestine for which you need to take antibiotics. The bulky uterus can be as a result of MA, but there can be other reasons that need to be examined, so please consult a Gynecologist for examination and treatment. Thanks