Conversation: The conversation between human and AI assistant.
[|Human|] Thanks. I am 41 yr old female with no problems and not overweight and no disease. This morning when i woke up there was a tearing pain on my right side so intense - like something was ripping down my insides -- I have never had pain that caused me not to be able to move -- I tried but got nauseated and sicker -- I walked to the bathroom to shower so I could go to ER but couldnt stand up...About 40 minutes of same level of intense pain ....after that it pretty quickly subsided and I felt like I needed a bm, had a normal bm, and the pain is completely gone. I don t have insurance and since the pain is gone -- will not go to dr. Any ideas what that was???
[|AI|]  Hello! Thank you for the query. Such sudden pain can be caused by urinary tract stones, gall stones or intestines spasm due to some obstruction. Urinary tract stones usually gives lower right or left pain radiating to the back or groin, frequent urinating can appear and burning when urinating. Gall stones give upper right pain radiating to the back, usually after a meal. Nausea and vomiting is very characteristic. Bowel obstruction can give strong abdominal pain, abdomen gets bigger due to bloating, vomiting is very characteristic. Can be associated with constipation history. It is advisable for you to have abdominal ultrasound, full blood work, liver tests, amylase, bilirubin and urinalysis. Hope this will help. Regards