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

### input:
hello, I have had horrible severe pain in my lowwer abdomen for about 3 1/2 years now. I ve had a laproscopy to check for endometriosis and my appendix was also taken out. They thought it was diverticulitis but after a colonoscopy they said my intestines were fine. I ve had Ct scans, ultrasounds, and they checked my bladder. They still can t figure out what my pain is coming from. It usually comes at night and off and on. I could go a month without it and then it re appears. Lately for the past 2 weeks it has been non-stop excrutiating pain which has never happened. I take Ibprhopen and it helps relieve it a little. I also have red streaks on my stool which the doctors tell me it s just from internal hemmrhoids. I m starting to wonder if it could be intestinal tuberculosis? I have had spots on my lungs during cat scans and my symptoms seem to match. I also am exposed to TB on a daily basis by working with inmates. Any information would be greatly appreciated!

### output:

Hi ! Good morning. I am Chat Doctor answering your query. Of course intestinal tuberculosis can present in any way, but with that there is weight loss, fever, and other associated features. Absence of these however does not exclude it either. If I were your doctor, I would have advised you with some basic blood tests like CBC, ESR and a manitou test. Also, I would go for a barium meal follow through and if all are inconclusive, would refer you to a gastroenterologist for a possible endoscopic examination of your gut with a possible biopsy. Further management would depend on reports of the investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.