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

### input:
The bottom of my stomach was hurting than it worked to the right side of my body. so when i lay down it hurt and so many prositions unless i lay on my back. Than it would go up to my shoulder making a sharp pain down to my chest . than it would move over to my chest. I thought i might been pregnant at first . but now i have bleedin from my vagainal area for like a month.

### output:

Dear Miss, there are many conditions that can cause the symptoms that you described, but It seems to me like abdominal or gynecological "story". First, it would be helpful to know your age and your medical history. Pregnancy must be always excluded, but it can also be some kind of missed or early abortion that causes vaginal bleeding. Pain that you are describing seems like position-dependent pain, and it can be signed of serious abdominal infection (including pelvic infection) such as intra-abdominal or tuboovarian abscesses. The most common vaginal bleeding is benign, and it is called dysfunctional uterine bleeding, but without more information I cannot give you the right answer. I should know does it bleed after intercourse, during menstruation or all the time? Shoulder pain is usually referred pain from other place like abdominal cavity (for example abdominal infection as I've mentioned before) and also you can feel it associated with abdominal discomfort(especially when you're feeling bloated because bloated stomach makes pressure on Phoenix nerve).  My opinion is that there is high possibility that you suffer from endometriosis... So I advise you to do this: 1. Laboratory findings (red blood count to look for anemia, inflammatory markers to look for infection, urinalysis- reinfection, vaginal microbiology tests-STDs, estrogen, progesteron and steroid hormone levels) 2. Ultrasound-abdominal and Gynecological !- to search for intra-abdominal abscesses, tumors, cysts, endometiosis etc. 3. CT scan if needed Also you should obstinate till your symptoms disappear. Good luck.