<human>: i get this sudden stabbing pains in my lower abdomen that kinda feel like labor pains. it can last for a few hours at a time and at times the pain is so strong i get the sweats and nesuea.  the pain is also felt in my lower back and at times i have pressure in my anus. what could this becoming from?
<bot>: HI. Thanks for your query and an elucidated history. The symptoms you have described, fits well into the most probable diagnosis of Parotitis / procto-colitis. I would advise you the following:First all get a consultation of a Surgical Gastroenterologist who would do a simple photocopy and Biopsy. According to symptoms you have to get a 5-day course of an antibiotic and metronidazole, Once the symptoms are reduced formal colonoscopy and biopsy can be planned, time has to be given for the colon to the better and healthy as the colonoscopy risks are then reduced. Other investigations to be done are :*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen, All the reports collectively can give the best possible diagnosis and treatment.