<s>[INST] I have several symptoms, not sure if any are related.  Stomach pain in lower mostly left sometimes across bottom of pelvic area.  I have also noticed some muscle loss recently, not sure they are even related.  I do live a sedetary lifestyle.  I am on prilosec daily for reflex and b12 shots and vit d.  I have these pains for several days and at least once a month.  Several ultrasounds show small cyst but nothing that should be causing this kind of pain.  Please help [/INST] Hi. Thanks for your query. You have several symptoms like pain in the lower abdomen, mostly left sided and sometimes across the bottom of the pelvis area. HERD for which you are taking Prilosec, B12, Vitamin D3, ultrasounds show small cysts. Obviously looking the symptoms looks unrelated but if you consider all of them to be together this can be due to a condition called Irritable Bowel Syn Chat Doctor.  But for we to say this to be IBS, all the investigations of blood, urine and stool should be normal as well as CT scan of the abdomen and endoscopies. Consult a Gastroenterologist and get treated accordingly. You have to have your stress and anxiety level well under control if you want the results. </s>