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

### input:
Hi, I am a 36 year old female, and I have been having lower abdominal pain on the left for two weeks now.  At first I would only feel the pain when I go to the bathroom to urinate, or poop, but now I feel it every now and then without using the toilet; like if I bend forward or cough it would hurt. This morning I touched the mid left side of my back and noticed it was tender to the touch.  When I use the toilet the pain gets so severe, I feel like passing out.  Most times after going I still feel like I have to go again (both but more so for the urination). I have also been having numbness & pain on the left lower extremities (about 2 months now), and think I have a pinched nerve. One morning I woke up in terrible pain because my left leg was almost locked into a bent position, it took a couple minutes before I could straigthen my leg out, which was very painful. So painful I almost passed out.  Could this have anything to do with the abdominal pain?

### output:

Hi. The treatment of the lower abdominal pain will depend upon the diagnosis, which in your case looks to be a serious problem after reading your history. You need an urgent CT scan of the abdomen for the proper diagnosis:This can be Cancer of the ovary or other part so causing the problems in urination and passing stool. This can be due to tuberculosis / Severe PID / Gastrointestinal Cancer. The history of pain and numbness radiating to the lower limb on the side of the sore back is indicative of nerve inflammation or adherence or involvement in the diseased mass. Biopsy may be need and the relevant blood, urine and stool tests. Surgery may be indicated.