Conversation: The conversation between human and AI assistant.
[|Human|] Hi there, I am a 53 year old woman who is fit and healthy but lately I have been waking up every second morning suffering from acute upper abdominal pain feels like I am in Labor, it lasts about two hours then just mild discomfort and also my abdomen is also looks swollen??
[|AI|]  Hi. Read and understood that a female of 53 suffers from acute upper abdominal pain every alternate morning like labor pain and subsides within 2 hours, the abdomen also looks to be swollen. The most probable reason for this can be an intestinal obstruction and may be related to the large bowel as this occurs in the morning only and may be getting reduced after passing the motion, although detailed history is not available. I would advise such a patient to rush to ER when in pain and bloating so that a simple X-ray in the standing position can help to get a proper diagnosis. Further investigations of ultrasonography/ CT scan and endoscopy can be planned according to the clinical evaluation. When you are talking about pain as if you are in labor, Gynecologists check up to see for the prolapse of uterus and reconcile as well as systole.