<s>[INST] I ve been having a lot of sharp pains on the upper left and right side that go to my back as of lately I ve been finding hard red flakes and even black dots in my poop. Latey when I poop I ve been having sharp pains as well. Muscle spasms on the right side of my stomach. When I ve mentioned it to the doctors they blame it on ibs and my anxiety without doing tests. They ve diagnosed my dad wrongfully the past 15 years and now he has terminal pancreatic cancer. We also have a history of colon cancer. I m just afraid the past is repeating itself. What can I do? [/INST] Thank you for the question. First off let me tell you that the red flakes and black dots are small amounts of blood in all probability which definitely rules out IBS. You can get a simple stool microscopy to be sure. 2nd of all pain radiating to the back along with severe muscle spasms is highly symptomatic of a pancreatic pathology. Here are my suggestions1) A full pancreatic profile with serum amylase and lipase to rule out simple pancreatitis2) contrast enhance ct/ MRI to look at the extent of the suspected pancreatic pathology3) A colonoscopy and occult blood in stool test to rule out cancer of colony wish you all the best </s>