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

### input:
no appendix ( it is removed 1994) no right kidney ( it is removed 1999) . left kidney is working well. and all other organs working well. all cbp, urine, ct scan, ultra scan are normal. after removing kidney i am suffering with heavy pain at the place of appendix and it is form to right kidney side after some time its locate left kidney side and left front side. mainly it starts and locate near appendix place. i am suffering this pain since 2006. urologist (who kidney removed) no problem. he suggest me go to gastroenterology doctor. i went there. they also tested me. no problems. in 2008 they gave normoxin tablet for 2 months. after taking that some relief for few months. the pain starting suddenly and heavily. taking pain killers (tablets are injections like overan) pain relieves but gas trouble . doctor changed injection Tramadol . i have no gas trouble and relieve from pain. it is only 5 or 6 months. now tramadol also not working. no pain relief. in hyderabad institute of asian gastro entrology , they gave ketorol injection . pain relieved but upto 48 hours full gastric problem. after that they gave ib set tablet for one month. thanking you sir. No abnormal bowel movements.  sir i have only pain what i wrote. after taking the tablet no daily motion and irregular once in three days. before taking tablet i didnt have no motion problem. no digestive trouble. all my recent reports uploaded. after motion trouble i went to the doctor. he gave one medicine Cremadiet. i am taking that daily. but the motion trouble continued.what can i do ?without abnormal bowel movements along with abdominal pain why the doctor prescribe that tablet (ib set)?

### output:

Hi and thanks for the query, The clinical scenario you describe warrants exclusion of a tumor. The association of a pain at the level of the appendix and the kidney could indirectly suggest a tumor from one area that had to spread to the other. It would be interesting to know if a histological evaluation of the tissue that was removed / appendix was done. An abdominal ultrasound could be most useful in checking for any masses that could be in the abdominal region and deciding an appropriate treatment option. Kind regards