Conversation: The conversation between human and AI assistant.
[|Human|] Two days ago, I started my day with nausea and some abdominal pain . By the end of the day, my abdominal pain was so bad, I was barely able to walk. My stomach hurt to move, and pain would radiate to my sides and back . The next morning , pain was not much , but it would cramp with movement such as bending down . Today I felt as if my lower right side of back was a bit swollen. Could something be wrong?! Thanks, Laura
[|AI|]  HI. When the pain in abdomen increases on moving, bending and radiate to back and lateral aspect indicates that you had intraperitoneal infection, may be needing urgent investigations and treatment. The causes are peritonitis, which can be caused by appendicitis with rupture, ovarian twisting, volumes, perforation of the stomach or intestinal ulcer. I would advise you admission to the hospital, urgent X-ray of the abdomen in standing position to see whether there is perforation- gas under the diaphragm sign; ultrasonography and relevant blood, urine tests. You may need urgent Exploratory Laparoscopy or Laparotomy to treat the cause if the Clinical correlation with investigations suggest so, or medical line of management to start with.