<human>: I am having very sharp pains in my abdomen.It usually happens when I have my period then goes away but now I believe I am going through menapause and haven t had but a few spots of a very black discharge. I am almost 52 years old and live in a very rural area of East Texas. I am having trouble finding a doctor that I can afford to drive back and forth too. I don t know if this is normal or if I should drive 40 miles to a medical clinic? Hot baths usually ease the pain but not this time, Keeping pressure on it seems to help. Can you give me some advice? Nothing personal but I m afraid of most doctors
<bot>: Hi, welcome to Chat Doctor forum.  The pain in the lower abdomen may be due to the pelvic infection, urinary tract infection, or stones in the ureter near the bladder.  I advise you to consult a gynecologist for diagnosis and treatment. You may need to have an M.R.I. for diagnosis.  I usually prescribe to my patient with such symptoms, fluconazole, lifetime, dicyclomine HY Chat Doctor.  Wishing for a quick and complete recovery.