<human>: I have been having horrible cramping sharp pains in my abdomen . I can t even stand up straight . I ve had this pain for two days now . Monday I came home and ate a bunch of junk food . Right after that I took a nap . When I woke up the pain started and has been nonstop . What does this mean ? Is it serious?
<bot>: This is serious. The starting and character of the pain is suggestive of Peritonitis. The probable causes are as follows::Primary peritonitisPerforation of the gastric ulcerPerforation of the small intestine because of Typhoid OT Tuberculosis. Perforated appendicitis. *If the patient is female-Torsion of the Ovarian Cyst, Rupture of the ovarian follicle, Tubal Pregnancy, TO Mass. You need ::X-ray of the abdomen in the standing position for gas under diaphragm UltrasonographyRoutine tests of blood, urine, sugar as per past history. You Need:Admission in the HospitalIntravenous fluids to replenish the third space loss, electrolyte balance, antibiotics and supportive treatment and consent for Surgery if required.