Conversation: The conversation between human and AI assistant.
[|Human|] Hi I felt fine then I was out on my bike and held my urine and had severe lower abdominal pain. I have had it for 6 hours now and I have taken paracetamol and ibuprofen which has not eased the pain. They are sharp cramps, I want to hold knees to chest, pain mainly in lower left adbomen
[|AI|]  Hi. Thanks for your query and an elucidated history:You have to hold the knees to the chest-this means the pain is so severe. Since the pain is in the left lower abdomen, the most probable causes I can think of are :Testicular torsion, Volvulus of the sigmoid colon, Left ureteric stone with colic. All of these are emergency problem, need urgent accurate diagnosis and may be an urgent treatment. Like-Testicular torsion needs immediate correction. I would advise you to rush to the ER / Hospital with a Surgical facility and a Surgeon has to examine you and get urgent ultrasonography and color Doppler of the testis and abdomen, Standing X-ray of the abdomen. Once the diagnosis is made you may need urgent surgery. If the pain is due to colitis or so, one can get medical management and get well.