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

### input:
I am 53 and have dealt with a dull lower adominal pain that never seams to go away. I am on pain meds that dont even touch this pain. It seams to move into my back area at times. It is always on my right side. I have had my gallbladder removed as well as my appendixs removed. All my female organs are removed also. Some times the pain is worse then others. I also have alot of trouble after I eat having to run to the restroom with bowel movements. I have been to doctors and say they cant find anything. Lately I have been having trouble feeling very sick to my stomach. I cant sleep more then a couple hours at a time due to the dull pain. I have the scope test done about every 3-5 years. Any thoughts or ideas.

### output:

Welcome to Chat Doctor. 1. The possible cause for the back pain could be due to degenerative disease of the spine. For which the medication after some times will not give any resolution. 2. Treatment in this case is simple back exercises (do as much as you can) followed by physiotherapy.3. That should help to get rid of the back symptoms. If not them MRI spine and treatment accordingly.4. The bowel symptoms suggest me as IBS - irritable bowel symptoms.5. Treatment in this case is maintained dietary changes - Take more of salads, vegetables,fruits, and fibrous diet for better bowel moment.6. Avoid junk, spicy, fat containing food, alcohol and other addictions that will help. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor. 