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

### input:
Hey. I have had abdominal pains for over 2 years. Usually always locallized to a specific area and wierdly in 3 places. 1) just under my peft side rib cage. 2)under my right side rib cage. 3)in my lower left quadrant. Of recent ive encountered new symptoms. A jelly like feeling just behind my tongue. chest pains at onset moments. I cannot eat fried foods without feeling ill immediately after. More frequant bowel movements for 48 hours every time. Was given mebeverine 135mg for ibs but they did not work at all. was given lanzoprazole 30mg and after 13 months they finally stopped being helpful like they was. my gp asked me to do a colonoscopy but I refused because of how dreadful my abdominal pains can be and tje thought of a colonoscopy while awake to me, is extremely invasive. please help? My nights are restless from the pain that develops and worsens each day until I wake up the next morning. Then it repeats itself. I have lost an otherwise usually perfect sleeping pattern because of this. I need advise. I need a private doctor in the UK as the NHS service is terrible. is there any chance I could be leaded the right way, please?

### output:

HI. Undergone through your history and is quite interesting and typical brain-teaser. The spots/ area are fixed you say. It is wonderful that the Mebeverine did not help you nor Lansoprazole. See- if a particular medicine has not helped you for a clinical picture, we have to think in a different direction. What worried me is : see you have been suffering for such a long and yet not ready for Colonoscopy. This is a very simple procedure and if done by an expert - causes no pain at all. Another option is Virtual colonoscopy (done by a CT scan and no need to put any instrument in the colon other than air). You can opt for this. You have to have this as there may be strictures or some pathology that is causing pointed pain (fixed area)There can be a treatable cause which will be missed if you do not undergo further tests. A contrasts enhanced CT scan also can give some ideas. There has to be a cause that has to be found out so that further treatment can be guided to the cure.