<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hello. I had a hysterectomy 1 year ago due to pain in my lower left stomach and back. I also had very heavy menstral bleeding.I am 50 years old. I am still having the same pain after a year. I went back to the doctor, they did test and determined that it was muscle related. To me it appears to be associated somehow with my bowels. When I go, my stool is usally wrapped in mucus or small hard like pellets. Some times Ill have a normal stool.I have also had a colonoscopy and a sigmoidoscopy, whicChatDoctore out normal. Now the pain happens after I use the bathroom. What could this be?  <response>: Hi. Thanks for your query and an elucidated history. Hysterectomy was done for a reason-for heavy menstrual bleeding and pain in abdomen. Persistence of pain is indicative of a cause to be investigated. History of hard pellets like stool and mucus in it suggestive of colitis. As per the history you have provided this looks to be a case of IBS meaning irritable bowel syn Chat Doctor. I would advise you to undergo the following tests:-Consult a Gastroenterologist.-CT scan of the abdomen to rule out any internal growth or cancer -Treatment for IBS to be started as early as possible. 