Conversation: The conversation between human and AI assistant.
[|Human|] I have had a lot of pain in the upper abdomen area the pain is constant it seems like but I also have a lot of really painfull sharp pains that feel like contractions as if I were in labor. But the next morning it seems to be better but after I get up and been moving around it seems like I am bloated and the  pain starts again. I am very scared please tell do you think it is serious.
[|AI|]  Hi, Noted your history about severe spasmodic pains in upper abdomen, getting better in the morning but then bloating, and the pain starts again. This is a classical history of intestinal obstruction, spasmodic pain followed by bloating. Although there is no nausea or vomiting that you have mentioned the possibility of intestinal obstruction, particularly of large bowel must be watched for, as in such a case the nausea and vomiting may be absent.Hence, I would advise you the following:Rush to ER or nearby hospital as the facility would be available. X-ray of abdomen in standing position is the cheapest and simplest investigation that shows intestinal obstruction. Additions tests of blood, urine, stool can help further for diagnosis and proper management. The initial treatment can be conservative by intravenous fluids, keeping you nil orally. If this does not solve the problems then you may need surgery. Hope I have answered your query. Let me know if I can assist you further.