<human>: i have moderate pain in my upper left abdomen that is piercing through to my back and radiating around my middle back. My stomach feels nautious. Pain suddenly came on 6hrs ago full bore and has not let up. I have diabetes, CHF, PAD, neuropathy. I take metformin, losartin, gabapentin, atorvastatin
<bot>: Hi sir/madam, Thanks for your question on Chat Doctor .the possible causes are:-1. Pelvic inflammatory disease. 2. Rupture or torsion of ovarian cyst.3. Period pains (dysmenorrhoea).4. Degenerative changes in a fibroid.5. Chronic pelvic pain.6. Bowel or bladder problems.7. Irritable bowel syn Chat Doctor. 8. Cystitis.9. Strangulated hernia.10. Muscle and bone problems. Hope I was helpful. Stay healthy, Stay safe.