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

### input:
I am 37 years old, have had 4 pregnancies in the last 2 years that ended up in miscarriage by week 6. I was diagnosed with thrombophilia and insulin resistance. I was under treatment for insulin resistance and lowered my insulin by loosing weight (about 30 pounds). I am currently 10 weeks pregnant (my 5th pregnancy) and everything is ok, except for a subchorionic hematoma, which I am resting now. We saw baby and heartbeat at week 6 and week 8. My question is that I have a sharp mild pain in my left lower abdomen every time I go to the bathroom to poop. I havent bleeding but I am worried because of my previous miscarriages. Is this pain normal after pooping? I have heard about round ligament pain, but I am only 10 weeks along.........please help....

### output:

Hello4 miscarriage within 2 years and now 5th pregnancy, pain in abdomen (lower part) particularly when defecate (poop) . This type of pain may be due to these possibilities, these are .1 Amoebic colitis, diagnosis can be confirmed by stool examination for E historical .2 Chorionic hematoma for which, you are already taking treatment.3 Left renal colic, diagnosis can be confirmed by ultrasound of left kidney.However, there are so many possibilities of such pain in pregnant patient such as ovarian pain, pressure due to growing fetus, but exact cause of pain will be decided by Obs & gynecologist after physical, clinical and investigation. So I recommend you consult OBS GYNECOLOGIST and get his opinion. This is not a work of physician particularly when 4 miscarriages happened. Good luck.