<s>[INST] I m a 38 year old woman. I have gained 10 lbs in 2 months but my most concerning symptoms are serious abdominal bloating - my stomach is distended, to where I went up two sizes of pants in the last 3 weeks, abdominal pain, feelings of pressure/tightness, especially in my lower belly area. My upper abdomen hurts, like I pulled muscles type of pain. The discomfort and pain is increasing. The bloating is mostly extended out versus wide, if that makes sense? Like I look like what I would imagine a pregnant person would look three or 4 months in. I can t be pregnant - I m on the pill and I had my period 3 weeks ago, though it was not normal. I made an appointment with a gastroenterologist - I have problems with severe constipation/ibs for almost my entire life, but nothing has changed recently. The first available appointment isn t until December. I cannot last that long - not sure how to proceed. [/INST] Hi.Thanks for your query and an elucidate history and understanding of the problems. There is possibility of Psudocyesis..Ovarian cyst, Distended Bowel related to your past IBS, or intestinal obstruction / ascites... The best way would be to :Get a clinical and physical examination by a Doctor.Ultrasonography and test of blood, urine and stool.Ct scan and endoscopies. The reports will get us the diagnosis and the plan for the treatment .. </s>