Conversation: The conversation between human and AI assistant.
[|Human|] Yes, My friend is having acute abdominal pain. Started Friday and has been mostly constant with only a few moments of relief. Alternates between sharp stabbing pains to dull ache and back to sharp. Abdomen is distended and mostly hard. No rebound tenderness. Pain is not localized. No bowel movement since Friday except for a couple of pellets 2 hours ago, I will not be able to continue, we have no money to pay for this; Reason we didn t go to ER; no funds Thanks anyway
[|AI|]  HI. Funds or no funds, this has to be investigated, ... They symptoms of spasmodic pains, distension of abdomen, plates but no motion, no bowel movement all suggest that he / she is suffering from an intestinal obstruction. This needs at least a standing X-ray of the abdomen and admission to the hospital for further investigations and conservative management. If the conservative management fails - surgery may be needed to get a permanent relief/