<human>: I am 37 years old. Two days ago I started having severe abdominal pain. The pain has been relentless, and keeps getting worse. I cannot hardly stand or move without sharp pains. The pain is across my abdomen at belly button level. I cannot even touch my abdomen without wanting to scream. I have been having bowel movements just fine. Could it be gall bladder?
<bot>: HI. The signs and symptoms you have described are suggestive of Peritonitis. You can not move or can not touch abdomen is called a Rebound tenderness. This is a pathognomonic sign of a peritonitis, and you need an Urgent Surgical Exploration of the abdomen. Before surgery, you can undergo the tests of : Blood for CBC, sugar, liver and kidney functions and electrolytes. And for Typhoid as it can cause Perforation of the small intestine. X-ray of the abdomen in the standing position to see a gas under diaphragm. Ultrasonography to see for fluid in the peritoneal cavity. The most common cause of this can be : Perforated Peptic ulcer, perforation of the small intestine by Tuberculosis, typhoid, Internal herniation, volumes with dis-integrity of the intestine and so on. Do not take anything orally, VISIT ER and get admitted.