Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have a very sudden onset of sharp pain in my lower right abdomen. Judt a little to the right of my bellybutton and it hurts when I move or stretch my abdomen at all. Even if im sitting straight. I was feeling fine at the gym but when i went to get out of my car i felt a horrible pain after standing up straight. I am a 20 year old female, pretty healthy. I have had abdomen pains in the past that come and go, and changes in my bowel for a few months now. I alternate between constipation and diarrhea and my bowel is always different. What could this be?
[|AI|]  If I was a doctor treating you, I'll like to know the following-any nausea, vomiting, fever?- where are you in the menstrual cycle? It could be appendicitis, Muscle strain given you've just worked out, or some pelvic pathology(such ovarian). You can take Ibuprofen (if no allergy) and see how it goes, if its muscle strain it should getter better. If no change or worse, Go to the hospital and get evaluated. You're likely to need CT scan of the abdomen and pelvis. Hope this helps