<s>[INST] I had pain in the lower right side of my ( i want to say stomach ) but i feel it is a bit lower, about a month ago, it went away and now it is back, i have been having weird bowel movements and sometimes cannot go at all. When i had intercourse 3 days ago we were in the missionary position when that same spot had a sharp shooting pain through it. It now just feels irritated more than anything except for the occasional sharp pain, and I cannot pass anything at the moment. do you have any ideas? [/INST] Hello, Lloyd, The location of the pain and some changes in your bowel habits point to some problem with your large intestine or the colon. If you are over 40+ years of age I suspect you may haveDiverticulosis or pockets on the colon wall. This is more common on the left side of the colon although you can involve any part of the bowel. If one of these pockets get infected, then you can have significant pain, fever, chills and even bloody diarrhea. In many cases, this is associated with spasms and the symptoms are similar to IBS or irritable bowel syn Chat Doctor. If you have not had a screening colonoscopy, you should get one. At the minimum, you can get a Barium Enema to see if there are any problems. If you have any family members with history of colon cancer, then you should have the colonoscopy. Same things true if there are any signs of blood in the stool, weight lessor anemia. Have your stool tested for blood and also get a complete blood work. For constipation, you can take stool softeners that arereadilily available in  </s>