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

### input:
hey, i m a 16 year old girl and for about a year i have been experiencing a lot of discomfort. My lower abdomen area is very tight and i feel bloated constantly, that area makes a loud rumberling noise and also a whining noise and it feels sometimes that my bum makes these noises aswell. its like a feeling that i need to fart but i cannot. i m also constipated nearly all the time and also have lower back pain near the kindneys on both sides this is at its worse in the mornings when i have just gotten up and then goes, but sometimes it can be a light ache throughout the day. i ve also noticed i ve constantly got bad breath i will brush my teeth and about 5 minutes later my bad breath will come back(this is ruining my confidence and i m becoming more and more seclusive because i m scared to talk to people in case they smell it.) I also have itches on my thighs and arms usally late at night. it would be really great if you could help me because this is taking over my life and i m getting really depressed about it. I can t concentrate in class because i am contantly worring that my stomache/abdomen is going to make noises.

### output:

HI. Thanks for an elucidated history. All these symptoms are suggestive of Enterocolitis. For the causative reasons to be found undergo tests like colonoscopy, Contrast enhanced CT scan of the abdomen, routine blood, urine and stool tests. Consult a Gastroenterologist to get a proper clinical examination and medical treatment. In such conditions at your age anxiety and stress have a larger part to play, and it has to be well controlled by you at any cost and see the difference.