instruction: hi doctor I am having abdominal pain on my lower right stomach since yesterday and my parents thought it is just the only bloated stomach I cannot also urinate well and pass stools whenever I pass stools my lower right abdominal get hurt so badly is this appendicitis or other stomach disease
output: hello I can imagine you must be very upset about your pain well the pain of appendicitis should be continues and not intermittent pain starts at the center of the abdomen around umbilicus and travel to the right lower part of the abdomen pain of appendicitis is often unbearable accompany with vomiting or severe constipation and sometimes diarrhea now I think you can better figure out what sort of pain is this gas bloating can cause pain but not often severe and usually occur when one have a meal not otherwise the pain improves with fasting or taking a certain diet which does not produce excessive gases pain of gas often worsens after milk and dairy products intake if you feel a strong suspicion for appendicitis an ultrasound abdomen targeted for appendicitis would be the first best investigation to do I hope this helps abdominal pain complete blood count serum amylase liver function tests ultrasound abdomen for liver gall bladder and appendix functional gas and bloating capsule tramadol 100 my for pain until definite treatment is given