Conversation: The conversation between human and AI assistant.
[|Human|] hi ive had abdominal pain for the last 4 days its at the top of my stomach just below ribs, its mostly a cramping pain now but it did start of as a dull ache. it only affects me now if i move around or im eating. Thats when i get the pains mostly, also i havent past a stoole in the last 4 days and i am normally an everyday man!
[|AI|]  Hi. Thanks for your query and an elucidated history. There are 2 likely reason for this pain. The first one as you have noted is that you have not passed motion for the last 4 days. So the colon (large bowel) is now loaded and there must have been xenoliths (hard stools) due to absorption of water by the large bowel. This does cause dull ache to start with and then the cramping pain. Moving around will increase the pain as also eating due to normal reflex of the body for the colon tries to evacuate. Another small possibility is associated gastritis.